BPM Associate

We are seeking a highly motivated and customer-focused Healthcare Helpdesk Associate to provide frontline support to patients, healthcare professionals, and internal teams. The role involves handling inquiries, troubleshooting issues, and ensuring seamless communication between various stakeholders in a healthcare setting. The associate will be the first...

Role DescriptionWe are seeking a highly motivated and customer-focused Healthcare Helpdesk Associate to provide frontline support to patients, healthcare professionals, and internal teams. The role involves handling inquiries, troubleshooting issues, and ensuring seamless communication between various stakeholders in a healthcare setting. The associate will...

8 OpeningsTaguigRole descriptionAssign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial ProjectsAssign Flag events and CDI for documentation discrepanciesComply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding...

25 OpeningsTaguigRole descriptionReporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations.Duties/Responsibilities:Receive and respond to inbound phone calls for customer assistanceRespond to outbound phone call requestsDocument all calls in...

1 OpeningTaguigRole descriptionWe 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...

Role DescriptionThe primary objective of The Call Center Team Leader/Supervisor is to implement policies and procedures to foster an environment of excellence in servicing healthcare customers. This includes leading and managing a team of 12-15 Call Center agents, examiners, adjusters, extensive interaction with client organization and multiple stakeholders,...

Job Description: Process new claims or modifies existing claims according to the appropriate and applicable action Analyze claims to determine appropriate action to approve or deny a claim for payment Determine accurate payment criteria for clearing pending claims based on defined policies and procedures Research claims edits to determine appropriate...

Reviews submitted enrollment requests assigned via the enrollment queues Processes according to established productivity goals while maintaining established quality goals Takes initiative to check questions or unusual situations with management in accordance with established guidelines Forwards enrollment discrepancies and documents to the enrollment...

At NiCE, we don't limit our challenges. We challenge our limits. Always. We're ambitious. We're game changers. And we play to win. We set the highest standards and execute beyond them. And if you're like us, we can offer you the ultimate career opportunity that will light a fire within you.The Associate Partner Experience Specialist at NICE plays a crucial...

Summary/Description: Manage a team of CSR associates in BPO operations. Main objective of the role will be to supervise the day-to-day delivery and performance of the team. The role will also require the individual to motivate, mentor, coach and groom the team. Ensure process & KM compliance along with meeting client and internal commitments. Own all...