Senior BPM Associate - Taguig, National Capital Region

We are seeking a Healthcare Utilization Management Intake Analyst to support the coordination of medical services. · ...

Responsible for ensuring the accurate processing and completion of medical claims in accordance with established guidelines and policies. · The associate is expected to demonstrate proficiency in applicable product lines within the processing unit. · ...

We have a strong global presence and a dedicated workforce spread across the world. Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership.All appeals and grievance cases must be documented in the highest quality possible, · Invest ...

Respond to customer inquiries via telephone and written correspondence providing accurate information about insurance benefits claims and provider contracts Analyze customer issues and deliver effective solutions promptly professionally Retrieve document customer information acti ...

Responsible for ensuring the accurate processing and completion of medical claims in accordance with established guidelines and policies. Demonstrates proficiency in applicable product lines within the processing unit. · ...

UST HealthProof is seeking a Healthcare Utilization Management Intake Analyst to support the coordination of medical services. · ...

We are searching for a highly motivated Appeals and Grievances Analyst to join our team. · Acting in a quality assurance capacity, Appeals and Grievances Analysts are responsible for processing appeals and grievances by evaluating the organization's initial decisions against CMS ...

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. · Contact appropriate medical and support personnel to identify and recommend alternative treatment service levels length of stays etc using approved clinical proto ...

We have a strong global presence and a dedicated workforce of over · 4000 people spread across the world. · This position description identifies the responsibilities · and tasks typically associated with the performance of · the position.All appeals and grievance cases must be ...

We are seeking a highly motivated Utilization Review Registered Nurse (RN) to join our team.In this role, you will conduct prospective, concurrent, and retrospective reviews of inpatient, outpatient services ensuring medical necessity appropriate length of stay intensity service ...

Responsible for the accurate processing and completion of medical claims based on defined guidelines and policies. · Demonstrate ability to work on high volume of claims · ...

We are looking for an Associate BPM Lead to join our team. · The role involves processing medical claims based on defined guidelines and policies. · This is a fantastic opportunity for someone who wants to work in healthcare and has experience in medical claims processing. · ...

This role is 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. · ...

UST 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. · ...

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world. Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. · Bachelor's degree in business administration, Economics, Health Care, ...

+We are seeking a Utilization Review Registered Nurse to conduct prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services. · ...

Responsible for accurate processing and completion of medical claims based on defined guidelines and policies. · ...

The Appeals and Grievances Analyst ensures cases are handled accurately and in compliance with CMS regulations. · Process and document appeals and grievances following company and CMS guidelinesInvestigate cases, prepare summaries, and support operational excellenceAssign and coo ...

The associate is responsible for ensuring accurate processing of medical claims in accordance with established guidelines and policies. · ...

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world. · UST HealthProof is searching for a highly motivated Appeals and Grievances Analyst to join our team.Acting in a quality assurance capacity,Follow Grievances and Appeals proce ...