Care Management Ph RN Voice Analyst - Viventis Search Asia | New Day Jobs (Yangon, Myanmar)

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Viventis Search Asia
Remote (Asia Time Zone Permitted)

Care Management Ph RN Voice Analyst

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Care Management Ph RN Voice Analyst

Viventis Search Asia
  • Remote (Asia Time Zone Permitted)
  • -
Salary : Login to view salary Apply from Source
Job Type : Full-Time
Education Requirement : Bachelor Degree
Skills :
Experience : 3 to 5 years
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Job Detail

Industry: Outsourcing/Offshoring

Job function: Health Care Provider

Seniority: Associate

Job Details:

  • Multinational professional services company
  • Graveyard Shift
  • Full-time Employment
  • Voice-based operations
  • Temporary WFH Setup for 2021
  • Competitive Salary Package
  • HMO Coverage
  • Remote/Virtual Recruitment Process

  • Responsibilities:

    Claims management for Absence and Disability Insurance: Gathers info and performs variety of complex clerical or administrative support functions w/c require knowledge and understanding of disability policies and process to appropriately calculate the benefits due.

  • Manages incoming or outgoing telephone calls, emails, and/or faxes, including triage, opening of cases and data entry into client system.
  • Determines contract; verifies eligibility and benefits. Adhere to federal and state regulatory and/or client plan requirements and established workflows.
  • Obtains information from claimant or other supporting systems, emails and/or from fax. Manages claims, collection of non-clinical information needed for review from claimants and providers, utilizing scripts to screen basic and complex requests.

  • Qualifications:

  • Holds current and unrestricted local (PH) Registered Nurse license.
  • Bachelor of Science Nursing (BSN) degree
  • minimum of three (3) months of prior working experience as a Registered Nurse in a clinical setting required
  • Three months is equivalent to 480 hours of working experience as an RN;
  • Work experience as a Registered Nurse means holding an active RN license and providing direct patient care;
  • Knowledge of disability claims management process and ability to interpret and apply member contracts, and member benefits; Knowledge of ICD-9 and ICD-10 and CPT codes, preferred;

  • The interview process will be remotely. This position is open to all PH Registered Nurse only.

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