Senior BPM Associate

Role DescriptionResponsible for the accurate processing and completion of medical claims based defined claims guidelines and policies. Associate can demonstrate proficiency in product lines applicable to the processing unit.Process new claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate...

UST HealthProof is seeking a Healthcare Utilization Management Intake Analyst. In this role, you will be responsible for supporting the coordination of medical services, including utilization management intake, requesting medical records, and handling provider requests to ensure the effective use of healthcare services. You will play a vital role in...

Role DescriptionUST HealthProof is seeking a Healthcare Utilization Management Intake Analyst. In this role, you will be responsible for supporting the coordination of medical services, including utilization management intake, requesting medical records, and handling provider requests to ensure the effective use of healthcare services. You will play a vital...

Role DescriptionUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve...

Role DescriptionRespond to customer inquiries via telephone and written correspondence, providing accurate and comprehensive information about insurance benefits, claims, and provider contractsAnalyze customer issues and deliver effective solutions promptly and professionally Retrieve and document customer information, activities, and changes accurately...

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS (Business Process as a Service) solutions manage complex administrative tasks, empowering our customers to focus on prioritizing the well-being of their members. Guided by our commitment to simplicity, honesty, and leadership, we...

Role DescriptionUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS (Business Process as a Service) solutions manage complex administrative tasks, empowering our customers to focus on prioritizing the well-being of their members. Guided by our commitment to simplicity, honesty, and...

URGENT MULTIPLE HIRING NEEDSWork Schedule: Rotating Shift / FlexibleWork Location: Taguig, 2X onsite + WFH (may shift to full onsite)Customer Support Senior Associate (DV360)2–5 years' experience in email, call, and chat supportStrong campaign management background; heavy on technical troubleshootingBasic scripting: HTML, CSS, JavaScriptDigital Marketing...

6 OpeningsTaguig CityRole descriptionResponsible for the accurate processing and completion of medical claims based on defined guidelines and policies.Process new claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny a claim for paymentDetermines accurate payment...

1 OpeningTaguigRole descriptionThis role supports the Appeals and Grievances Department by assisting with regulatory and client reporting, audit monitoring, and compliance maintenance (e.g., CMS, Medicare Advantage, Prescription Drug requirements). They will collaborate with business areas to identify requirements, assess risks, and recommend compliant...