Senior BPM Associate

2 days ago

Taguig, National Capital Region, Philippines UST Full time $40,000 - $60,000 per year

1 Opening

Taguig

Role description

We are searching for an Appeals and Grievances Intake Analyst who will support coordination of appeals and grievances intake, request medical records, and process member/provider requests as well as promote and support Appeals and Grievances team as required.

  • 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 adheres to the 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.
  • Strong time management skills
  • 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

US Healthcare, Communications, Team Collaboration

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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