Business Process Associate III

Crawco; Manila; Hybrid; PHP 420,000 - 660,000; Full time

Job summary

Crawco in Manila is seeking a Process AR Senior Associate to monitor, review, and improve processes to ensure standard procedures are correctly applied in medical and finance contexts.

You will perform data entry, verify accuracy, analyze information, prepare reports, conduct QA, coordinate with stakeholders by phone or email, and assist onshore partners to resolve and close claims, while protecting confidentiality and following SOPs.

Qualifications

• Bachelor’s degree or equivalent professional experience.
• At least two years related work experience.
• Proficient typing skills.
• Good communication skills.
• Proficient in word processing and spreadsheet software.
• High analytical skills in reviewing medical information or financial information.
• Competence in case management outcomes.
• Knowledge and understanding of QI and QA practices.
• Ability to multi-task, prioritize and manage time effectively.
• Maintains high degree of professionalism and confidentiality.
• Interpersonal skills - able to work independently and as a team member.

Responsibilities

• Data entry of medical and bill information.
• Checks data initially entered for accuracy and completeness.
• Processes client information.
• Analyzes medical information for appropriateness.
• Summarizes information to prepare reports as necessary.
• Conducts quality assurance on processes and documents.
• Contacts with stakeholders, either through phone call or email to coordinate medical treatment schedule.
• Approves payments of medical bills.
• Assists and collaborates with onshore partners in resolving and put claims to closure.
• Act as the point of contact in the absence of a Team Lead or Supervisor.
• Handle complex scenarios that would require further analysis and decision making (I.e., Client account reconciliation, billing history, etc.)
• Processes client information.
• Ensure the accuracy of financial data that is provided both internally and externally.
• Summarizes information to prepare reports as necessary and be able to explain these financial reports.
• Conducts quality assurance on processes and documents.
• Facilitates any additional training needed by the team.
• Upholds the Crawford Code of Conduct by protecting the confidentiality of information.
• Adheres to the SOPs and turnaround time set by the company.

Skills

Typing

Communication

Microsoft Word

Microsoft Excel

Analytical skills

Case management

QA practices

Time management

Attention to detail

Confidentiality

Teamwork

Interpersonal skills

Multi-tasking

Education

Bachelor’s Degree or equivalent professional experience

Tools

Microsoft Word

Microsoft Excel

Job description

• Locations 22nd floor Twenty Four Seven McKinley Building, Manila, 1634, PH (Hybrid)
• Process Code AR Senior Associate
• Work Station Assignment TBD
• Nurse License Not Applicable

Job Description

Responsible for monitoring, facilitating, and reviewing processes and information to determine if standard procedures set forth were accurately used.

Responsibilities

• Medical Information Review
  
  • Data entry of medical and bill information.
  • Checks data initially entered for accuracy and completeness.
  • Processes client information.
  • Analyzes medical information for appropriateness.
  • Summarizes information to prepare reports as necessary.
  • Conducts quality assurance on processes and documents.
  • Contacts with stakeholders, either through phone call or email to coordinate medical treatment schedule.
  • Approves payments of medical bills.
  • Assists and collaborates with onshore partners in resolving and put claims to closure.
    
• Finance Information Review
  
  • Act as the point of contact in the absence of a Team Lead or Supervisor
  • Handle complex scenarios that would require further analysis and decision making (I.e., Client account reconciliation, billing history, etc.)
  • Processes client information.
  • Ensure the accuracy of financial data that is provided both internally and externally.
  • Summarizes information to prepare reports as necessary and be able to explain these financial reports.
  • Conducts quality assurance on processes and documents.
  • Facilitates any additional training needed by the team.
    
• Business Process Support
  
  • Analyzes and resolves any issues and inquiries regarding matters of work in a customer-oriented approach.
  • Routes tasks to appropriate processor by utilizing internal systems.
  • Refers matters beyond limits of authority and expertise to immediate superior for direction.
  • Upholds the Crawford Code of Conduct by protecting the confidentiality of information.
  • Adheres to the standard operating procedures (SOP) and turnaround time set by the company.
  • Performs variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes.

Qualifications

• Bachelor’s Degree or equivalent professional experience in lieu of a degree
• At least two (2) years related work experience.
• Must:
  
  • Proficient typing skills.
  • Good communication skills.
  • Proficient in word processing and spreadsheet softwares.
  • High analytical skills in reviewing medical information or financial information.
    
• Competence in case management outcomes.
• Knowledge and understanding of QI and QA practices.
  
• Ability to multi-task, prioritize and manage time effectively.
• Keen attention to details in order to produce quality output.
• Maintains high degree of professionalism and confidentiality.
• Interpersonal skills - Able to work independently and as a team member.