43 Healthcare jobs in Bacoor
Team Lead - ED and Surgery Coding
1552 Mandaluyong City
Gratitude Jobs Ahead HR INC
Posted 10 days ago
Job Viewed
Job Description
The Team Lead - ED / Surgery Coding role is a leadership position focused on overseeing the daily operations of a medical coding and auditing team specializing in Emergency Department (ED) Facility, Surgery, and Observation Coding. This role requires a combination of technical expertise in medical coding, strong leadership skills, and the ability to drive team performance to meet client expectations. The position is based onsite in Taguig, operating on a day shift schedule, and demands a proactive approach to managing workflows, ensuring quality, and fostering continuous improvement.
Key responsibilities include managing the coding and auditing team’s daily operations to ensure smooth workflow and high-quality service delivery. You will ensure the team consistently achieves 100% productivity and quality targets aligned with client requirements. The role involves analyzing workload, attendance, and attrition trends to optimize team utilization and maintain operational efficiency. You will proactively identify performance gaps through data analysis and implement corrective actions to drive continuous improvement, ensuring the team meets or exceeds performance metrics.
The role requires close collaboration with team members and stakeholders to address coding challenges, provide guidance, and maintain compliance with industry standards. You will monitor team performance, provide feedback, and implement strategies to enhance coding accuracy and efficiency. The position demands excellent communication skills to relay expectations, report on progress, and foster positive relationships with internal and external stakeholders.
To succeed, candidates must have proven expertise in Emergency Department (ED) Facility, Surgery, and Observation Coding, with a minimum of 3–4 years of hands-on experience in a medical coding role. At least 1 year of leadership experience as a Team Lead in a similar coding process is required, along with a minimum of 2 years of experience in a business process outsourcing (BPO) environment. Candidates without BPO experience will not be considered. Strong analytical skills, attention to detail, and the ability to work independently are essential. Candidates must demonstrate the ability to manage teams effectively, meet deadlines, and adapt to changing priorities.
A bachelor’s degree in a relevant field, such as life sciences, healthcare, or a related discipline, is preferred but not mandatory. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig. The role requires a commitment to maintaining high standards of coding accuracy and team performance in a fast-paced, client-focused environment.
Company Details
Defining our identity can take on various perspectives. To some, we are passionate tech enthusiasts deeply engaged in the art of recruitment. To others, we are a dynamic recruitment firm propelling transformative change through technology-driven disruption. Our Ideology Has Always Been "Candidates And Employees 1st...Clients 2nd" This Means Core Strategies And Functioning Of Gratitude Is Made By 1st Keeping Candidates And Employees Interest In Mind And Only Then Comes The Clients.
This advertiser has chosen not to accept applicants from your region.
0
Medical Records Staff (With Icd-10 Coding Certification)
Makati, National Capital Region
Dempsey Resource Management Inc.,
Posted 19 days ago
Job Viewed
Job Description
Qualifications:
Must be a college graduate of any course. br>Preferably with one (1) year relevant experience with the job. < r> ith ICD-10 Coding Certification. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
ssigned to safeguard the contents of medical records. < r> esponsible to make sure that charts are returned in medical records daily. < r> roper labeling and filing of charts. < r> ther duties deemed necessary by the Immediate Head.
Must be a college graduate of any course. br>Preferably with one (1) year relevant experience with the job. < r> ith ICD-10 Coding Certification. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r>
Job Description:
ssigned to safeguard the contents of medical records. < r> esponsible to make sure that charts are returned in medical records daily. < r> roper labeling and filing of charts. < r> ther duties deemed necessary by the Immediate Head.
This advertiser has chosen not to accept applicants from your region.
1
Radiologic Technologist / Assistant
Makati, National Capital Region
Dempsey Resource Management Inc.,
Posted 19 days ago
Job Viewed
Job Description
Qualifications:
A graduate of Radiologic Technology. br>Licensed Radiologic Technologist < r> ust have training, certification, and at least one (1) year experience relevant to the job. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r> riving (advantage but not a basic qualification). < r>Job Description:
erforms different X-ray procedures and can assist radiologist. < r> an analyze findings of the X-ray results. < r> roper recording and filing of the CD’s of film.
A graduate of Radiologic Technology. br>Licensed Radiologic Technologist < r> ust have training, certification, and at least one (1) year experience relevant to the job. < r> ood communication skills. < r> omputer literate with proficiency in MS Office, using MS Word, and MS Excel. < r> riving (advantage but not a basic qualification). < r>Job Description:
erforms different X-ray procedures and can assist radiologist. < r> an analyze findings of the X-ray results. < r> roper recording and filing of the CD’s of film.
This advertiser has chosen not to accept applicants from your region.
2
Customer Experience Associate I - Healthcare Pharma
Pasay City, National Capital Region
Conduent
Posted today
Job Viewed
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Ability to perform in an analytical and operational process.
+ Entry-level position with limited requirements for licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a close degree of supervision.
**Functional Knowledge**
+ Has basic skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports in the achievement of company goals by understanding how teams integrate for the best outcome.
+ Impacts a team through quality of the services and information provided.
+ Follows standardized procedures and practices and receives close supervision and guidance.
+ For consistency, methods and tasks are described in detail.
**Leadership**
+ Has no supervisory responsibilities.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
+ Has limited opportunity to exercise discretion.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Ability to perform in an analytical and operational process.
+ Entry-level position with limited requirements for licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a close degree of supervision.
**Functional Knowledge**
+ Has basic skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports in the achievement of company goals by understanding how teams integrate for the best outcome.
+ Impacts a team through quality of the services and information provided.
+ Follows standardized procedures and practices and receives close supervision and guidance.
+ For consistency, methods and tasks are described in detail.
**Leadership**
+ Has no supervisory responsibilities.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
+ Has limited opportunity to exercise discretion.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
This advertiser has chosen not to accept applicants from your region.
3
Healthcare Project Management- Project Manager for Installation
Taguig, National Capital Region
GE HealthCare
Posted 4 days ago
Job Viewed
Job Description
**Job Description Summary**
Healthcare Project Management (HPM), responsible for managing wing to wing projects of GE Healthcare (GEHC) business, owns the project management and implementation process for GEHC Diagnostic Imaging, including sales order review, customer meeting, project planning, design/layout, contractor interface, submission of documentation, issue resolution, GE resources coordination which includes product shipping logistics, installation and training.
As related customer equipment, facilities or infrastructure projects:
- responsible for project delivery, profit & loss accountability, and customer satisfaction through management of project related activities and resources.
- Impacts quality of own work and the work of others on the team.
- Executes standard operational/technical tasks typically subject to instructions and work routines.
There is latitude to rearrange the sequence to complete task/duties based on changing work situations.
GE HealthCare is a leading global medical technology and digital solutions innovator. Our purpose is to create a world where healthcare has no limits. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world.
**Job Description**
**Essential Responsibilities:**
**Customer facing**
+ Lead complicated projects and drive strategic
Healthcare Project Management (HPM), responsible for managing wing to wing projects of GE Healthcare (GEHC) business, owns the project management and implementation process for GEHC Diagnostic Imaging, including sales order review, customer meeting, project planning, design/layout, contractor interface, submission of documentation, issue resolution, GE resources coordination which includes product shipping logistics, installation and training.
As related customer equipment, facilities or infrastructure projects:
- responsible for project delivery, profit & loss accountability, and customer satisfaction through management of project related activities and resources.
- Impacts quality of own work and the work of others on the team.
- Executes standard operational/technical tasks typically subject to instructions and work routines.
There is latitude to rearrange the sequence to complete task/duties based on changing work situations.
GE HealthCare is a leading global medical technology and digital solutions innovator. Our purpose is to create a world where healthcare has no limits. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world.
**Job Description**
**Essential Responsibilities:**
**Customer facing**
+ Lead complicated projects and drive strategic
This advertiser has chosen not to accept applicants from your region.
4
Customer Experience Associate III - Healthcare Insurance
Pasay City, National Capital Region
Conduent
Posted 18 days ago
Job Viewed
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Establishes the appropriate approach for new assignments.
+ Works with a limited degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports to achieve company goals by helping teams to integrate and work together.
**Impact**
+ Impacts a team through quality of the services provided and information shared.
+ Uses discretion to modify work practices and processes to achieve results or improve efficiency.
**Leadership**
+ May give informal guidance to junior team members.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines while under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Responsible for the end-to-end resolution of customer issues.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Establishes the appropriate approach for new assignments.
+ Works with a limited degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports to achieve company goals by helping teams to integrate and work together.
**Impact**
+ Impacts a team through quality of the services provided and information shared.
+ Uses discretion to modify work practices and processes to achieve results or improve efficiency.
**Leadership**
+ May give informal guidance to junior team members.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines while under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Responsible for the end-to-end resolution of customer issues.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
This advertiser has chosen not to accept applicants from your region.
5
Customer Experience Associate I - Healthcare Pharmacy
Pasay City, National Capital Region
Conduent
Posted 18 days ago
Job Viewed
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Ability to perform in an analytical and operational process.
+ Entry-level position with limited requirements for licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a close degree of supervision.
**Functional Knowledge**
+ Has basic skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports in the achievement of company goals by understanding how teams integrate for the best outcome.
+ Impacts a team through quality of the services and information provided.
+ Follows standardized procedures and practices and receives close supervision and guidance.
+ For consistency, methods and tasks are described in detail.
**Leadership**
+ Has no supervisory responsibilities.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
+ Has limited opportunity to exercise discretion.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Ability to perform in an analytical and operational process.
+ Entry-level position with limited requirements for licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a close degree of supervision.
**Functional Knowledge**
+ Has basic skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports in the achievement of company goals by understanding how teams integrate for the best outcome.
+ Impacts a team through quality of the services and information provided.
+ Follows standardized procedures and practices and receives close supervision and guidance.
+ For consistency, methods and tasks are described in detail.
**Leadership**
+ Has no supervisory responsibilities.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
+ Has limited opportunity to exercise discretion.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
This advertiser has chosen not to accept applicants from your region.
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6
Customer Experience Associate III - Healthcare Insurance
Pasay City, National Capital Region
Conduent
Posted 18 days ago
Job Viewed
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Establishes the appropriate approach for new assignments.
+ Works with a limited degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports to achieve company goals by helping teams to integrate and work together.
**Impact**
+ Impacts a team through quality of the services provided and information shared.
+ Uses discretion to modify work practices and processes to achieve results or improve efficiency.
**Leadership**
+ May give informal guidance to junior team members.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines while under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Responsible for the end-to-end resolution of customer issues.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Establishes the appropriate approach for new assignments.
+ Works with a limited degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports to achieve company goals by helping teams to integrate and work together.
**Impact**
+ Impacts a team through quality of the services provided and information shared.
+ Uses discretion to modify work practices and processes to achieve results or improve efficiency.
**Leadership**
+ May give informal guidance to junior team members.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines while under supervision, to meet SLAs.
+ Provides customers with information that is specialized.
+ Communicates in a warm and empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Responsible for the end-to-end resolution of customer issues.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
This advertiser has chosen not to accept applicants from your region.
7
Customer Experience Associate II-Healthcare Savings
Manila, Metropolitan Manila
Conduent
Posted 18 days ago
Job Viewed
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a moderate degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports the achievement of company goals by integrating teams for the best outcome.
**Impact**
+ Impacts a team through quality of services and information provided.
+ Follows standardized procedures and practices and receives moderate supervision and guidance.
**Leadership**
+ Has no supervisory responsibilities.
+ Manages own workload.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized and communicated in a warm empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
**Job Track Description:**
+ Performs business support or technical work, using data organizing and coordination skills.
+ Performs tasks based on established procedures.
+ In some areas, requires vocational training, certifications, licensures, or equivalent experience.
**General Profile**
+ Expands skills within an analytical or operational process.
+ Maintains appropriate licenses, training, and certifications.
+ Applies experience and skills to complete assigned work.
+ Works within established procedures and practices.
+ Works with a moderate degree of supervision.
**Functional Knowledge**
+ Has developed skillset in a range of processes, procedures, and systems.
**Business Expertise**
+ Supports the achievement of company goals by integrating teams for the best outcome.
**Impact**
+ Impacts a team through quality of services and information provided.
+ Follows standardized procedures and practices and receives moderate supervision and guidance.
**Leadership**
+ Has no supervisory responsibilities.
+ Manages own workload.
**Problem Solving**
+ Ability to problem solve, self-guided.
+ Evaluates issues and solutions to provide the best outcome for the client and end-users.
**Interpersonal Skills**
+ Exchanges information and ideas effectively.
**Responsibility Statements**
+ Assesses calls to provide service immediately, be transferred, or require follow-up for client resolution.
+ Identifies customer needs by referring to case notes and examining each as a specific case.
+ Performs routine call center activities concerning business products and services.
+ Uses standard scripts and established guidelines and under supervision, to meet SLAs.
+ Provides customers with information that is specialized and communicated in a warm empathetic manner.
+ Gathers all necessary information to update the database.
+ Escalates issues to senior levels, based on complaints or concerns.
+ Explains company policies to customers.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form ( . Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy ( .
This advertiser has chosen not to accept applicants from your region.
8
Medical Records Specialist
Manila, Metropolitan Manila
NTT DATA North America
Posted 19 days ago
Job Viewed
Job Description
**Roles and Responsibilities:**
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
+ Communicates with members, providers, facilities, and other departments regarding appeals requests
+ Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
+ Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
+ Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
+ Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically Medicare and medical necessity review.
+ Uses sound judgment, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards
+ Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
+ Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
+ Prepare case recommendations for medical review as necessary.
**Requirements:**
+ 2 - 4 years of experience in processing appeals or utilization management
+ RN - Registered Nurse - State required Licensure and/or Compact State Licensure
+ Knowledge of utilization management processes
+ Knowledge of NCQA, Medicare and Medicaid regulations
+ Good communication (Demonstrate strong reading comprehension and writing skills)
+ Able to work independently, strong analytic skills
Required shift timings:
US daytime
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
+ Communicates with members, providers, facilities, and other departments regarding appeals requests
+ Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
+ Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
+ Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
+ Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically Medicare and medical necessity review.
+ Uses sound judgment, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards
+ Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
+ Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
+ Prepare case recommendations for medical review as necessary.
**Requirements:**
+ 2 - 4 years of experience in processing appeals or utilization management
+ RN - Registered Nurse - State required Licensure and/or Compact State Licensure
+ Knowledge of utilization management processes
+ Knowledge of NCQA, Medicare and Medicaid regulations
+ Good communication (Demonstrate strong reading comprehension and writing skills)
+ Able to work independently, strong analytic skills
Required shift timings:
US daytime
This advertiser has chosen not to accept applicants from your region.
9
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