Senior Process Associate

HCL Technologies Limited; Taguig; On-site; PHP 450,000 - 600,000; Full time

Job summary

Sapsf is seeking a Senior Process Associate to join the denial management team. The role focuses on reviewing denied claims, identifying root causes, and strategizing to improve reimbursement. Collaboration with insurers and providers is essential to resolve issues and submit well-documented appeals.

The position requires strong communication, attention to detail, and the ability to work in a fast-paced, changing environment while aligning with US shift schedules.

Qualifications

• Strong verbal and written communication skills.
• Neutral accent and good adoption to US culture.

Responsibilities

• Review and analyze denied claims to identify root causes and trends.
• Develop strategies to reduce claim denials and improve reimbursement rates.
• Collaborate with insurance companies, healthcare providers, and internal teams to resolve denied claims.
• Prepare and submit appeals for denied claims with complete documentation.
• Monitor status of appeals and follow up as needed.
• Maintain accurate records of denial management activities and outcomes.
• Provide regular reports on denial trends and appeal success to management.
• Stay updated on industry regulations and payer policies to ensure compliance.

Skills

Verbal communication

Written communication

Neutral accent

US culture adaptation

First contact resolution

Customer experience

Active listening

Team player

Process improvement

Job description

Career Opportunities: Senior Process Associate (178070)

Requisition ID178070-Posted10/12/2026

We seek an experienced RCM Customer Service Executive – Voice/Semi Voice to join our team. The role involves collaborating with healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts.

Key Responsibilities

• Review and analyze denied claims to identify root causes and trends.
• Develop and implement strategies to reduce claim denials and improve reimbursement rates.
• Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims.
• Prepare and submit appeals for denied claims, ensuring all necessary documentation is included.
• Monitor and track the status of appeals and follow up as needed.
• Maintain accurate records of all denial management activities and outcomes.
• Provide regular reports on denial trends, appeal success rates, and other key metrics to management.
• Stay updated on industry regulations and payer policies to ensure compliance

Skill Requirements

• Strong verbal and written communication skills
• Should possess neutral accent and good adoption to US culture.
• Ability to resolve customer queries in the first point of contact.
• Focus on delivering a positive customer experience
• Should be professional, courteous, friendly, and empathetic
• Should possess active listening skills
• Ability to multi task.
• Capable of handling fast-paced, innovative, and constantly changing environment
• Should be a team player.
• Ability to contribute to the process through improvement ideas.