- Successful completion of Provider Call Center training,
- Active participation in continuous training,
- Follow required call scripts and QA requirements.
- Ability to handle high call volume.
- Assist the Provider Call Center or Provider Services Departments with projects, as needed.
- The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
- All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material
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Senior Marketing Associate
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Ayala Malls Quezon City, PilipinasAs a SENIOR MARKETING ASSOCIATE, you will be responsible for handling the following: · 1. Assists in the daily mall marketing operations functions in his/her specific mall assignment · such as but not limited to the following: · a. Advertising, Promotions, Public Relations, and M ...
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Senior Recruitment Associate
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EDGE Tutor International Philippines, Quezon City, Pilipinas Buong orasYour Role · As a Senior Associate for Recruitment and People Analytics at Edge Tutor International, your primary responsibility is to lead our talent acquisition efforts, leverage data analysis for continuous improvement, and manage key performance indicators (KPIs) to ensure the ...
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Junior/Senior Accounting Associate
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Operations Administrative Senior Associate
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Cambridge University Press & Assessment | Manila Manila, Pilipinas Buong orasDiscover a world of endless possibilities with Cambridge University Press & Assessment, a distinguished global academic publisher and assessment organisation proudly affiliated with the prestigious University of Cambridge. · Within International Operations we are looking for an O ...
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Senior Associate Brand Manager
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BRANDED Philippines, Manila, Pilipinas Buong orasAt BRANDED, we are building an international e-commerce consumer products company that transforms businesses into global brands. Since our inception in late 2020, we have quickly scaled our team to 250+ employees worldwide across a portfolio of over 40 best-selling brands generat ...
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Senior Associate ScientistTrade Economist
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International Rice Research Institute Manila, Pilipinas· Job Description · Description · –> · The Senior Associate Scientist under the Transformative Policies and Investments (TPI) Unit will be part of the socioeconomic modeling and policy analysis group. The successful applicant will contribute to building a strong economic modelin ...
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Senior Associate ScientistTrade Economist
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International Rice Research Institute Manila, Pilipinas· Job Description · Description · –> · The Senior Associate Scientist under the Transformative Policies and Investments (TPI) Unit will be part of the socioeconomic modeling and policy analysis group. The successful applicant will contribute to building a strong economic modelin ...
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Senior Associate ScientistTrade Economist
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International Rice Research Institute Manila, Pilipinas· Job Description · Description · –> · The Senior Associate Scientist under the Transformative Policies and Investments (TPI) Unit will be part of the socioeconomic modeling and policy analysis group. The successful applicant will contribute to building a strong economic modelin ...
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Senior Associate ScientistTrade Economist
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International Rice Research Institute Manila, Pilipinas· Job Description · Description · –> · The Senior Associate Scientist under the Transformative Policies and Investments (TPI) Unit will be part of the socioeconomic modeling and policy analysis group. The successful applicant will contribute to building a strong economic modelin ...
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Senior Clinical Research Associate
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MICHAEL PAGE INTERNATIONAL RECRUITMENT (PHILIPPINES) INC. Philippines, Manila, Pilipinas Buong orasJoin a billion dollar global pharmaceutical company · Be part of developing 2 portfolios - BioPharma and Oncology · About Our Client · A global, science-led, patient-focused biopharmaceutical company that focuses on the discovery, development and commercialisation of prescription ...
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Senior Fund Accounting Associate
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ACCPRO INTERNATIONAL Manila, Pilipinas Buong orasSr. Fund Accounting AssociateJob Description: · • Optimize and streamline processes to increase efficiency. Historical accounting data has been trackedin Microsoft Excel. The individual will be required to summarize capital activity and actively track andmanage data in preparatio ...
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Field HR Senior Analyst to Associate Manager
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Neksjob Philippines Mandaluyong, Pilipinas PermanentResponsibilities: · • Develop and execute HR strategies, programs and services across one or more parts of the employee lifecycle to attract, develop and retain a highly engaged and differentiated workforce that enables the execution of human capital and business strategies. · • ...
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Senior Invoicing Associate
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Atos Taguig, PilipinasEviden is an Atos Group business with an annual revenue of circa ⬠5 billion and a global leader in data-driven, trusted and sustainable digital transformation. As a next generation digital business with worldwide leading positions in digital, cloud, data, advanced computing and s ...
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Senior Tax Associate
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Senior Tax Associate
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Crawford & Company (GBSC) Taguig, PilipinasSummary · This position will support the Tax Department with tax compliance, tax provision, and special projects. · Responsibilities · Preparation of international taxable income calculations required for U.S. income tax returns and quarterly financial statements filed with the S ...
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Senior Invoicing Associate
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Eviden Taguig, Pilipinas Buong orasShift Schedule: Nightshift · Work Setup: Onsite · At least 3-5 years of total work experience in Invoicing/Accounts receivable Set-Up or traditional accounting set up · Must have excellent communication and written skills · Good analytical ability - · Typing speed 40-50 WPM · ...
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Senior Tax Associate
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Crawford & Company (GBSC) Taguig, Pilipinas Buong orasSummary · This position will support the Tax Department with tax compliance, tax provision, and special projects. · Responsibilities · Preparation of international taxable income calculations required for U.S. income tax returns and quarterly financial statements filed with the S ...
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Senior Finance Associate
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senior invoicing associate
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Eviden Taguig, PilipinasAt least 3-5 years of total work experience in Invoicing/Accounts receivable Set-Up or traditional accounting set up · Must have excellent communication and written skills · Keen to details on evaluating and analyzing request/transactions/source documents for processing/billing a ...
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Senior Reconciliation Associate
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Atos Taguig City, Pilipinas Buong orasEviden, part of the Atos Group, with an annual revenue of circa € 5 billion is a global leader in data-driven, trusted and sustainable digital transformation. As a next generation digital business with worldwide leading positions in digital, cloud, data, advanced computing and se ...
Call Center Senior Associate - Philippines, Quezon City, Pilipinas - NTT DATA Services
Paglalarawan
In this Role you will be Responsible ForCommunicate with contracted and non-contracted Providers by providing information and assistance as appropriate.
Assist Providers with interpreting Member eligibility and benefit information
Assist with general question about the existing Programs and Member benefits.
Assist with direction on the available Provider portal, including how to set up accounts, troubleshooting and navigating the website, how to submit and retrieve necessary information.
Handle claim status inquiries, researching and facilitating resolution of payment issues; provider education on remittance advice interpretation and reimbursement, and informing providers of the claims appeals process.
Work closely with the Claims Team in resolving claims discrepancies, inappropriate denials and delays in payments.
Provide providers with eligibility; process authorizations and Exception Requests
Answer questions regarding authorizations and denials
Meet NTT Call Center Standard Work and performance expectations. This includes, but is not limited to the following:
Ensure the privacy and security of PHI (Protected Health Information) as outlined policies and procedures relating to HIPAA compliance.
Key Skills:
Excellent customer service skills, including ability to diffuse difficult situations.
Ability to analyze complex claims data/payments and clearly communicate findings to Providers
University degree or equivalent that required formal studies of the English language.
3+ year(s) of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English.
3+ year(s) of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions
3+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
3 + year(s) of healthcare call center experience working in a health care delivery setting preferred.