Intake Specialist

1 week ago

Taguig, National Capital Region, Philippines beBeeCustomer Full time ₱250,000 - ₱450,000
Job Description

We are seeking a professional to support the coordination of appeals and grievances intake, request medical records, and process member/provider requests.

The ideal candidate will have excellent communication skills, be able to manage significant workloads, and work efficiently under pressure.

Responsibilities
  • Provide support services to team members triaging and completing intake requests for appeals and grievances into system
  • Request medical records or other documentation as needed to complete appeal and grievances
  • Maintain accurate and complete documentation of required information that meets quality standards
  • Protect the confidentiality of the member information and adhere to company policies regarding confidentiality
  • Perform other duties as assigned
Qualifications
  • High school diploma or G.E.D. required; associate or bachelor's degree in health care related field an advantage
  • Current unrestricted LPN license or certified Medical Assistant designation an advantage but not required
  • Minimum of one year experience in a health care related field. Preferred setting is hospital, medical doctor's office, or health insurance company.
  • Appeal and grievance experience preferred.
  • Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required.
  • Computer literacy to include Microsoft Office products
  • Advanced technical skills for use of hardware and software with a high degree of accuracy.
  • Excellent oral and written communication skills for representation of clear and concise results. Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision.
  • Must possess high degree of accuracy, efficiency, and dependability
  • Effective written and verbal communication and feedback
  • Effective organizational skills with ability to be flexible and prioritize tasks
  • Knowledge of educational assessments and learning strategies
  • Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling in English
Skills

Healthcare, Communication, Team Collaboration

Seniority level

Associate

Employment type

Full-time

Job function
  • Customer Service
Industries
  • IT Services and IT Consulting

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