We are looking for a meticulous and dedicated Customer Quality Control Associate to join our team. The individual... in this role will be responsible for analyzing and evaluating validity of our member rebate claims, maintaining and our gaming...
Job Description: Job Summary: The HR Associate is responsible for supporting a wide range of HR functions... HR documentation, and ensuring legal compliance. Additionally, the HR Associate plays a key role in employee recognition...
We're looking for a Business Process Associate II-1 to join our Insurance Operations team at MBPS. In this role... Activates policy profile for the use in claims, underwriting, sales and billing Required Qualifications Knowledge in MS Office...
Job Brief: The Procure to Pay - Accounts Payable (AP) Associate is responsible for timely and accurate processing... and understanding of Accounts Payable and accounting functions, Employee expenses claims and Inter-company accounting. Good negotiation...
Lead regulatory affairs and licensing operations to ensure compliance with Philippines FDA and local regulatory... regulatory guidance for product launches, tenders, labeling, claims, promotional materials, and due diligence activities. Monitor...
Lead regulatory affairs and licensing operations to ensure compliance with Philippines FDA and local regulatory... regulatory guidance for product launches, tenders, labeling, claims, promotional materials, and due diligence activities...
according to set deadline. Claims Receivable Processing Ensure that all claims to principal are properly charged based... on contract. Ensure that all charges are timely billed to principals Ensure that claims are collected on time or offset/deducted...
and professionally. Conduct comprehensive debtor account reconciliations and resolve discrepancies (e.g., credit claims, pricing issues... discrepancies (pricing, credits, duplicate billing). Dispute Management: Triage and resolve credit claims, POD issues, price...
plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members well-being... regulations and processes; experience in claims, authorizations, and Medicare Advantage plans Experience working...
with our fulfillment warehouse, monitoring shipping and receiving performance/operations and responding to and resolving issues... employees Process curriculum invoices/claims as directed with UPS/Fed Ex for missing and damaged goods Handle project-oriented...
solutions, payment integrity, claims cost containment, and advanced analytics. With more than 25,000 employees across five... countries, Sagility delivers best-in-class operations that enhance care quality, improve provider and member satisfaction...
plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members well-being... regulations and processes; experience in claims, authorizations, and Medicare Advantage plans Experience working...
intermediate level claims examiner, 1st level call center rep, 1st level customer service rep, and 1st level underwriter.... Job Category: Customer Service / Operations Posting End Date: 30/12/2026...
in the world. Established in 1995, we provide expertise in clinical operations, biometrics, regulatory affairs... and Medical benefits & health Claims Inquiry Provider Inquiry pre-authorization and/or other medical services by acting...
intermediate level claims examiner, 1st level call center rep, 1st level customer service rep, and 1st level underwriter.... Job Category: Customer Service / Operations Posting End Date: 30/12/2026...
Job Description: UST HealthProof partners with health plans to deliver integrated operations solutions. With over... in grievances, appeals, and CMS regulations, especially with Medicare Advantage plans Knowledge of claims, authorizations...
plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being...; experience in claims, authorizations, and Medicare Advantage plans Experience working in or with Medicare Advantage plans...
We're looking for a Senior Disability Administrator to join our Insurance Operations team at MBPS. In this role..., you will be responsible for setting up absence management services (AMS) claims within tight deadlines. The incumbent will work closely...
systems, documentation, and regular communication. Responsibilities Billing Operations (Primary Focus) Generate, send..., authorizations, and payer rules) Submit primary and secondary insurance claims Conduct claim follow-ups, including: Status checks...
submission of renewal information, claims documentation, and premium payments Review and reconciliation of insurance policy..., Insurance or Business Continuity Management certification/trainings required Associate / Supervisor Accounting and Finance...