Senior BPM Associate

1 week ago

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

2 Openings

Taguig

Role description
  • Professional interaction with Nurses, Insurance Adjusters and other medical professionals
  • Intake / Data Entry of UR referrals and case assignment
  • Evaluate faxes received by looking for identifying information and through thorough research in the Data system; link files to open requests by the clinicians that is instrumental in their completion of the review process
  • Scan, upload and label case documents into appropriate case files
  • Process administrative tasks for the clinicians such as handling of inbound faxes under the Managed Care Folder and ensure proper transmittal of documents to the appropriate queue
  • Collection of medical files and documents to be scanned, indexed and uploaded to web base Utilization Review case management application
  • Sort EMR and documents
  • Enable the clinician to plunge in to the review process of the document once queued by the Intake team
  • Properly determine the correct path for the services requested from the received fax and be able to move to the appropriate clinicians to review the case i.e. urgent care/non-urgent care all have different timetable/TAT that will impact NCQA
  • Other tasks assigned

Skills and Qualifications

  • Any college education
  • At least 6 months of Healthcare BPO work experience; Related UM/UR intake work an advantage
  • Ability to multitask across multiple applications
  • Strong analytical skills with excellent attention to detail
  • Great team player with excellent interpersonal skills
Skills

Healthcare,BPO,Analytical,Team player

About UST

UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world's best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients' organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

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