Business Process Associate III

Crawford; Manila; Hybrid; PHP 480,000 - 720,000; Full time

Job summary

Crawford Philippines in Manila is seeking a Process Code AR Senior Associate to monitor, facilitate, and review financial and medical information to ensure procedures are correctly followed.

You will perform data entry, verify data accuracy, process client information, and prepare reports while adhering to the Crawford Code of Conduct and SOPs. The role requires strong attention to detail and teamwork in a hybrid work setting.

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 or financial information.
• Ability to multi-task and manage time effectively.
• Maintains professionalism and confidentiality.
• Interpersonal skills - able to work independently and as part of a team.

Responsibilities

• Data entry of medical and bill information.
• Checks data for accuracy and completeness.
• Processes client information.
• Analyzes medical information for appropriateness.
• Summarizes information to prepare reports.
• Conducts quality assurance on processes and documents.
• Contacts stakeholders by phone or email to coordinate medical treatment schedule.
• Approves payments of medical bills.
• Assists and collaborates with onshore partners to resolve and close claims.
• Act as point of contact in the absence of a Team Lead or Supervisor.
• Handle complex client account reconciliations and billing history.
• Explain financial reports to internal or external parties.
• Route tasks to appropriate processor using internal systems.
• Refer matters beyond limits of authority to supervisor.
• Uphold Crawford Code of Conduct and protect confidentiality.
• Adhere to SOPs and turnaround times.
• Perform various administrative duties as assigned.

Skills

Typing speed

Communication

Word processing

Spreadsheets

Analytical skills

Case management

QA practices

Multi-tasking

Attention to detail

Confidentiality

Team player

Education

Bachelor’s Degree

Tools

Word processing

Spreadsheets

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.