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Ubiquity Global Services CSR - VOICE | HEALTHCARE ACCOUNT in Taguig, Philippines

What we offer?

  • Up to 30k for the Salary Package

  • HMO up to 4 dependents

  • Group Life Insurance

  • Retirement Benefit

  • Investment Opportunities

  • Corporate Loan Assistance

  • Tenure-based Benefits (Cash Incentives)

  • Profit Sharing

    Responsibilities:

  • Receiving calls about health care insurance coming from network providers

  • Review of claims based on provider and health plan contractual agreements, claims processing guideline,

  • Reviewing duplicate claims and coordinating benefits (COB) with other health insurance.

  • Review of manual processing to ensure accuracy and timeliness of claims processing.

  • Accountable to support company?s goals and follow all set processes.

  • Using DOFR-Division of Financial Responsibility ? Identify claims that are not our clients financial risk.

  • Verify patient?s accounts for eligibility and benefits.

  • Read, interpret and summarize provider contracts.

  • Validate paper claims data against system data for accurate data capture.

  • Adjudicate claims in accordance with department policies and procedures and other business rules.

    Qualifications:

  • Bachelor?s Degree in Healthcare, Business Administration or any related field

  • Must have at least 2-3 years of experience in US Healthcare

  • At least 1 year BPO experience handling phones is a requirement

  • Should be well versed with HMO Plans

  • Must have a thorough understanding of claims operations, including, but not limited to, prior roles as adjuster/examiner, claims operations, or equivalent

  • Working knowledge of Microsoft Office products.

  • Excellent verbal and written communication skills.

  • Be able to receive direction and training on extensive claim adjudication.

  • Knowledgeable of Medi-Cal and Medicare are a plus

  • Knowledgeable of EZ Cap claims platform and claims adjudication process are preferred but not a requirement

  • All other duties as assigned

  • Amenable to work in BGC, Taguig

    APPLY NOW! You may Walk-in at our Recruitment Hub at 10F Bench Tower Rizal Drive cor 30th St BGC Taguig

    Nearby Transportations:1) Ride an EDSA/Ayala or Market Market BGC Bus (Central Route Bus) and Drop Off to: Bonifacio Stopover then Walk it from there (5 min)2) Ride a Jeepney going Makati and Drop Off to Guadalupe Nuevo then Ride a Tricycle and Drop Off to "Stoplight" then Walk it from there (10 min)

    Landmark: Near Mind Museum

    OR COPY AND PASTE THIS LINK TO APPLY: http://bit.ly/UbiquityTaguigHiring

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