Current jobs related to BPM Lead - Taguig - UST

  • Senior BPM Lead

    2 weeks ago

    Taguig, Philippines UST Full time

    Senior BPM Lead (Appeals & Grievances Supervisor) UST Taguig, National Capital Region, Philippines The Appeals and Grievances Supervisor will ensure that cases are assigned and documented in the highest quality possible and conduct tracking and trending activities to ensure identified issues are communicated to the appropriate business leader. Monitor...

  • Business Process Manager

    2 days ago

    Taguig, Philippines Globe Telecom Full time

    Business Process Manager (BPM) for Digitalization & Automation At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can achieve this goal. Job Description The Business Process Manager for digitalization and automation initiatives...

  • Associate BPM Lead

    2 weeks ago

    Taguig, National Capital Region, Philippines UST USource Full time ₱900,000 - ₱1,200,000 per year

    Responsible for the accurate review/audit of medical claims based defined claims guidelines and policies.Review claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny action done by the agentDetermine if accurate payment criteria for clearing pending claims based...

  • Associate BPM Lead

    2 weeks ago

    Taguig, National Capital Region, Philippines UST Full time ₱300,000 - ₱600,000 per year

    3 OpeningsTaguigRole descriptionResponsible for the accurate review/audit of medical claims based defined claims guidelines and policies.Review claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny action done by the agentDetermine if accurate payment criteria...

  • Team Lead

    1 day ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is seeking a call center trainer, preferably with experience in financial accounts, for a position in Taguig. Candidates should be prepared for a phone pre-screening; subsequent interviews will be conducted either in person or virtually. **Benefits:** - HMO coverage for the employee and two dependents starting on Day 1 - Quarterly performance bonuses -...

  • Team Lead

    11 minutes ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is seeking a call center trainer, preferably with experience in financial accounts, for a position in Taguig. Candidates should be prepared for a phone pre-screening; subsequent interviews will be conducted either in person or virtually. **Benefits:** - HMO coverage for the employee and two dependents starting on Day 1 - Quarterly performance bonuses -...

  • Spanish Call Center Team Lead

    1 day ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a team leader for their Spanish account. The pre-screening interview will be conducted over the phone, so please ensure your line is available. Position: Spanish Team Leader (BGC) Benefits: HMO coverage for the employee and 2 dependents from day one. Quarterly performance bonuses. Excellent career development opportunities. 24 leave days per...

  • Spanish Call Center Team Lead

    12 minutes ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a team leader for their Spanish account. The pre-screening interview will be conducted over the phone, so please ensure your line is available. Position: Spanish Team Leader (BGC) Benefits: HMO coverage for the employee and 2 dependents from day one. Quarterly performance bonuses. Excellent career development opportunities. 24 leave days per...

  • Spanish Account Team Lead

    1 day ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a team leader for our Spanish account. **Benefits:** - Health Maintenance Organization (HMO) coverage for the employee and 2 dependents from day one. - Quarterly performance bonuses. - Excellent career development opportunities. - 24 leave days per year. **Position:** Spanish Team Leader (BGC) **Key Qualifications:** - Willingness to work in...

  • Spanish Account Team Lead

    11 minutes ago

    Taguig, Philippines TASQ Staffing Solutions Full time

    TASQ is hiring a team leader for our Spanish account. **Benefits:** - Health Maintenance Organization (HMO) coverage for the employee and 2 dependents from day one. - Quarterly performance bonuses. - Excellent career development opportunities. - 24 leave days per year. **Position:** Spanish Team Leader (BGC) **Key Qualifications:** - Willingness to work in...

BPM Lead

4 weeks ago

Taguig, Philippines UST Full time

UST Taguig, National Capital Region, Philippines

1 week ago Be among the first 25 applicants

Role Description

Under general supervision, the Lead is responsible for supervising the assigned team and ensure that the team adheres to SLAs specified by the client or process for productivity, achieving expected quality and revenue goals and schedule adherence. The Lead is considered a mentor, trainer, developer of less tenured team members. Responsible for developing new and existing audit concepts.

Responsibilities
  • Maintain KPI for assigned sites and assist team with meeting deadlines, as needed
  • Work with other leads and managers (Client) to resolve issues or escalations resulting from any errors
  • Hold team accountable for meeting deadlines, completing monthly reconciliation, completing missing information, and effectively report delays and issues in a timely manner
  • Review and analysis of periodic reports and metrics
  • Will be accountable for daily/weekly performance updates to key stakeholders in weekly meetings
  • Responsible for managing attrition and building retention strategies
  • Providing regular performance feedback, giving frequent formal and informal coaching sessions and best practice sharing for accurate processing
  • Responsible for queue management, shift staffing and roster management as applicable
  • Provide support to quality initiatives targeted towards process improvements
  • Assist in hiring new team members
  • Perform other duties as assigned
  • Willing to go the extra mile when needed
  • Should be comfortable handling remote staff and office-based staff
Qualifications
  • Must have active USRN mainland license
  • AHIMA or AAPC medical coding certification not required but an advantage
  • Lean Training and Certification an advantage
Work Experience
  • Should have overall 5+ year work experience with a minimum of 2 years in the role of Supervisor in a BPO setting with knowledge on one or all fields or medical Utilization Management and Review
  • Profound understanding and application of Milliman and Interqual guidelines
  • Should have the ability to effectively handle large teams in a fast-moving business environment
  • Must be comfortable creating process workflows and documenting processes
  • Understanding and well versed in the application and process of Utilization Management, and/ or Appeals and Grievance
Other Requirements
  • Proficient knowledge on US Healthcare Practice, Clinical Documentation Improvement, medical terminologies, EDI, and HIPAA protocols are a must
  • Excellent collaboration skills and good work ethics
  • Excellent verbal and written business communication skills required
  • Strong proficiency in Windows OS and Microsoft Office applications
  • Self-starter who can manage multiple priorities with minimum direction
  • Knowledge on different platforms used in the conduction of UM reviews
Skills

US Healthcare, USRN, HIPAA, Utilization Management

Seniority level
  • Mid-Senior level
Employment type
  • Full-time
Job function
  • Management and Manufacturing
Industries
  • IT Services and IT Consulting

We’re an organization that values opportunities and growth. This description reflects the responsibilities, qualifications, and expectations for the Lead role as presented.

#J-18808-Ljbffr