Job details |
|||||||||||||||||||||||||||
|
Job Offer: Job Offer: Quality Analyst | BPO Utilization Management | Claims Denial:Job description:Hiring Customer Service and BPO Jobs for Various Accounts DAY & NIGHT SHIFT / TELECOM, FINANCIAL, Information technology / HELPDESK, TECHNICAL SUPPORT, HEALTHCARE, SALES, EMAIL / CHAT SUPPORT, HOTEL/TRAVEL RESERVATION, BILINGUAL & BACK OFFICE POSITIONS Job Description . » Perform QA monitors for utilization management, clinical appeals or claims denials team » Conduct quality metric analysis on compliance scores » Timely and accurate completion of standard and advanced quality forms, reports and analysis » Attend and participates in quality calibration sessions » Perform root cause analysis for highlighted performance variance » Provide immediate education, report error trends and propose action plans to mitigate errors, as needed Job Requirements . » Bachelors degree graduate of Nursing or any Allied Medical course » At least 1 year of practice in a QA, Training or Team Coach capacity for a US healthcare account » Must have handled utilization management, clinical appeals or claims denials for a US Healthcare account » Familiarity with using various QA tools is an advantage » Strong analytical skills with excellent communication skills » Willing to work on Fixed Night Shift (Fixed Weekends Off) and onsite in Ortigas Pasig salary - P35,000 to P45,000 Other benefits - HMO with dependents, sick leaves and vacation leaves, government mandated benefits Job Function . Customer Service / BPO / Call CenterHealthcare / Medical Minimum Education . College or Bachelor's Degree Graduate salary . 30,000 - 50,000 Benefits . Shift Allowance, Nightshift Differential, Performance Incentives, SSS/Philhealth/HDMF Benefits, HMO Locations . Metro Manila, Cebu Employment Duration . Permanent (Full time) Total Years practice . 3 years practice in Call Center BPO . 2 years Skills:
|
|||||||||||||||||||||||||||
|