Business Process Associate III

1 week ago

Iloilo City, Western Visayas, Philippines Crawford & Company Full time
Job Description

Responsible for monitoring, facilitating, and reviewing processes and information to determine if standard procedures set forth were accurately used.

Responsibilities
  1. Medical Information Review
    1. Data entry of medical and bill information.
    2. Checks data initially entered for accuracy and completeness.
    3. Processes client information.
    4. Analyzes medical information for appropriateness.
    5. Summarizes information to prepare reports as necessary.
    6. Conducts quality assurance on processes and documents.
    7. Contacts with stakeholders, either through phone call or email to coordinate medical treatment schedule.
    8. Approves payments of medical bills.
    9. Assists and collaborates with onshore partners in resolving and putting claims to closure.
  2. Finance Information Review
    1. Act as the point of contact in the absence of a Team Lead or Supervisor.
    2. Handle complex scenarios that would require further analysis and decision making (i.e., Client account reconciliation, billing history, etc.).
    3. Processes client information.
    4. Ensure the accuracy of financial data that is provided both internally and externally.
    5. Summarizes information to prepare reports as necessary and be able to explain these financial reports.
    6. Conducts quality assurance on processes and documents.
    7. Facilitates any additional training needed by the team.
  3. Business Process Support
    1. Analyzes and resolves any issues and inquiries regarding matters of work in a customer-oriented approach.
    2. Routes tasks to appropriate processors by utilizing internal systems.
    3. Refers matters beyond limits of authority and expertise to immediate superior for direction.
    4. Upholds the Crawford Code of Conduct by protecting the confidentiality of information.
    5. Adheres to the standard operating procedures (SOP) and turnaround time set by the company.
    6. Performs a variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes.
Qualifications
  1. Bachelor's degree in any related field.
  2. At least two (2) years related work experience.
  3. Must:
    1. Proficient typing skills.
    2. Good communication skills.
    3. Proficient in word processing and spreadsheet software.
    4. High analytical skills in reviewing medical information or financial information.
  4. Desired:
    1. Competence in case management outcomes.
    2. Knowledge and understanding of QI and QA practices.
  5. Ability to multi-task, prioritize and manage time effectively.
  6. Keen attention to detail in order to produce quality output.
  7. Maintains a high degree of professionalism and confidentiality.
  8. Interpersonal skills - Able to work independently and as a team member.
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