We are seeking a skilled and experienced Medical Biller to join our team. The successful candidate will demonstrate a strong attention to detail and accuracy in claims processing, along with excellent communication and interpersonal skills for effective collaboration with team members, insurance companies, and patients.

Duties and Responsibilities:

• Utilize proficient understanding of CPT & ICD-10 coding and medical billing procedures to accurately prepare and submit medical insurance claims.
• Demonstrate knowledge of insurance claim submission processes and reimbursement practices to ensure timely reimbursement.
• Verify and review claim information for completeness and compliance with billing regulations.
• Record and reconcile payments received from insurance companies and patients.
• Ensure accurate posting of payments and adjustments in the billing system.
• Collaborate effectively with team members, insurance companies, and patients to resolve any billing discrepancies or issues.
• Managing insurance and patient Accounts Receivable (A/R), resolving billing discrepancies, addressing insurance denials and rejections by sending claims for reprocessing and/or submitting corrected claims/appeals as necessary.
• Credentialing for major insurance companies for in-network and out-of-network providers under the client's NPI (including VA network).

• Proven experience as a Medical Biller or Medical Administrative Assistant in a healthcare setting, preferably in a medical massage clinic or related field.

• Proficiency in medical billing and coding procedures, including knowledge of CPT and ICD-10 codes relevant to medical massage services.
• Credentialing for major insurance companies for in-network and out-of-network providers under the client's NPI (including VA network).
• Experience with electronic billing systems and medical billing software for submitting claims, processing payments, and managing patient accounts.
• Knowledge and experience in verifying patient insurance coverage and eligibility for medical massage services, including familiarity with various insurance plans and authorization requirements.
• Ability to communicate effectively with insurance companies and third-party payers to obtain pre-authorizations and verify coverage for treatment.
• Ability to generate and send patient statements, process payments, and follow up on outstanding balances or delinquent accounts.
• Experience in handling patient inquiries and concerns related to billing, insurance coverage, and payment options with professionalism and empathy.
• Proficiency in using electronic medical records (EMR) systems to enter patient information, update treatment records, and document billing and coding information accurately.
• Ability to provide administrative support to the clinic, including answering phones, greeting patients, and assisting with front desk duties as needed.
• Strong organizational skills and attention to detail in managing administrative tasks, such as filing, data entry, and correspondence.
• Excellent communication and interpersonal skills, with the ability to interact professionally and effectively with patients, healthcare providers, and colleagues.
• Knowledge of HIPAA regulations and patient privacy laws, with a commitment to maintaining confidentiality and safeguarding patient information at all times.
• Willingness to pursue ongoing training and certification in medical billing and coding, as well as other relevant areas of healthcare administration, to stay current with industry trends and best practices.
• Willing to work in the Pacific Time (PST) schedule (8:00 AM - 4:00 PM PST).
• With own Laptop or Desktop (8GB RAM, core 5 above) with an internet connection of at least 10mbps.

The Account to Report (A2R) Supervisor will be responsible for the delivery of work of a certain cluster or sub-team under the Account to Report (A2R) function within the established policy and agreed service level. The cluster or sub-team can be a group of countries/entities &/or sub-processes under A2R. The Supervisor will be working under the direction of the  A2R Manager.

Tasks

• Oversee and review A2R transactional accounting, reporting and closing processes for Fixed Assets, Intercompany and General Ledger and ensure that transactions and reports are processed in accordance with Generally Accepted Accounting Principles (GAAP), accounting standards, and Global Accounting Policies
• Monitors leave and attendance of the team and supervises the day-to-day work of the assigned cluster/sub-team.
• Ensures timely and quality completion of all deliverables (including iPace) as per agreed service levels and global targets
• Provide support in A2R operations (including review & approval) particularly for complex transactions or as back up, or during handover/stabilization of newly migrated entities.
• Proactive involvement in determining improvement areas and work with Manager to provide the necessary supervision/leadership to assigned projects/initiatives which may include migration, continuous process improvement & other quality initiatives. Ensure that assigned projects/initiatives are completed on time with quality results.
• Identify, rectify, follow up and resolve issues, define and implement action plans to address root cause, document and monitor issue and error log
• Act as first point of escalation on issues of assigned cluster/sub-team. Lead the issue resolution process and escalate to Manager, as needed. Ensure timely and quality resolution of issues
• Lead the timely reporting and review of KPIs for the assigned cluster/sub-team. Lead in identifying & addressing identified gaps versus KPI targets.
• Develop a high-performing team. Provide the necessary guidance, support, coaching and training to team members.
• Contribute (as member of the leadership team) in the overall management and development of the R2R Tower, including the successful achievement of its goals and objectives.
• Collaborate and build partnership with the retained organization and other internal and global stakeholders to provide transparency of the results of operations, address issues, and provide value-added services, to exceed expectations on the service delivery of the R2R team 

Qualifications and Requirements

• Graduate of Bachelor's degree preferred in Accounting or Finance
• Certified Public Accountant (CPA) license preferred
• Finance and Accounting Experience with solid exposure in:
• General Ledger
• Intercompany Accounting
• Fixed Assets Accounting
• Overall month-end closing
• Reconciliation, Reports and consolidation
• Had previous exposure in handling and managing transitions and/or projects for process improvement
• At least three (3) years in a supervisory role focused on the R2R function 
• With proven results and past successes in crisis management, process improvements, stakeholder management and business partnering
• Proficient in using MS Office product
• With 5 to 8 years working experience in Record to Report
• Minimum three (3) years working knowledge in SAP or any ERP system
• Experience in Shared Services Center/BPO
• Experience in process migration, is a plus.
• Fluency in the English language  

Competencies

Developing and Energizing Others - Able to exhibit a “can-do” approach and inspire associates to excel; use competition to encourage others; develop performance standards and confront negative attitudes; develop a team spirit and create a development plan for every person in the team.

Conflict Management - Able to use a win-win approach to resolve controversy; stay objective and fair when dealing with sensitive situations; maintain constructive working relationships despite disagreement.

Influence & Persuasion - Able to convince others in both positive or negative circumstances; use tact when expressing ideas or opinions; present new ideas to authority figures; adapt presentations to suit a particular audience; respond to objections successfully.

Decision Making & Problem Solving - Able to take action in solving problems while exhibiting judgment and a realistic understanding of issues; able to use reason, even when dealing with emotional topics; review facts and weigh options.

Planning, Prioritizing, & Goal Setting - Able to prepare for emerging customer needs; manage multiple projects; determine project urgency in a meaningful and practical way; use goals to guide actions and create detailed action plans; organize and schedule people and tasks.

Benefits:

• HMO and Life Insurance Eligible on Day 1
• 30 PTOs
• Hybrid-set up

#1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Inpatient Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long term; Steady-state
  

Other Details

• Possible start date will be within two weeks or earlier
• 8-hour shift from Monday to Friday (graveyard shift)
• Weekend days off
• Duration: Long term and steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

#1 PH Workforce Delivering to the US.

Bizforce and our medical billing division, MedCore Solutions, is currently seeking a skilled and compassionate WFH US Medical Assistant with Dermatology experience to join our team. As a Medical Assistant, you will play a critical role in providing quality healthcare services to patients. This is a permanent work from home position that offers flexibility and the opportunity to work with a dynamic team of healthcare professionals.

Who We Are

MedCore Solutions (MCS) is a single source solution for healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Assist healthcare providers in patient examinations and procedures
• Interview patients and document basic medical history
• Obtain and record vital signs and medical history of patients
• Prepare examination rooms and ensure cleanliness and organization
• Administer medications and injections as directed by healthcare providers
• Coordinate patient referrals and follow-up care
• Update and maintain electronic medical records
• Provide patient education and support
• Collaborate with the healthcare team to ensure quality patient care
• Provide administrative support to ensure efficient operation of the office
• Answer and direct phone calls, take messages, and respond to inquiries
• Perform clerical tasks such as filing, transcribing, and faxing
• Coordinate and schedule appointments, meetings, and travel arrangements
• Maintain an organized filing system for both electronic and paper documents
• Assist in the preparation of reports, presentations, and correspondence
• Assist with project coordination by tracking progress and deadlines

Other Details:

Schedule: Mondays - Fridays 8 hr/day; 40 hr/week; Weekend days off

Timezone: EST

• At least 2 years of experience as a Medical Assistant or a Medical Secretary in a virtual healthcare setting
• Organize and schedule appointments
• Update and file medical records and insurance reports
• Proficient in using electronic medical record systems
• Knowledge of medical terminology and procedures
• Excellent communication and interpersonal skills
• Strong attention to detail and organizational skills
• Experience with calendar management and scheduling software is a plus
• Can start immediately or in 2 weeks
• Knowledge of Dermatology a plus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

Inquiry Management

• First-line support of employees, managers, and executives for all general HR questions, seeking support in HR policies, processes, self-service transactions, and HR content on the online portal.
• Processes basic to complex HR and benefits transactions and supports the auditing of information
• Document calls and code as appropriate for reporting purposes
• End-to-end ownership for resolving inquiries, as well as for helping employees and managers learn about self-service capabilities.
• Provide accurate and efficient resolutions of issues and inquiries through multiple channels (e.g., phone, email/ticket, live chat, etc.) by following appropriate resolution/assessment methodologies (e.g., investigating and research)
• Utilizing knowledge management tools, educating employees on HR technologies
• Provide timely and reliable employee support that generates a high level of employee satisfaction and inspires confidence through effective communication, expert knowledge, and efficient escalation to resolve issues
• Communicate effectively (written or verbal) matching the style, needs, and level of understanding of the employee to support optimal interaction, through available employee support channels (phone, email, ticket management)

HR Administration

• Expert and skilled end user for Workday and other HR systems and tools
• Manage transaction workflows in the assigned region
• Respond to all employee verification requests and employment reference letters, etc.
• Identify process improvement opportunities focused and improving the effectiveness and efficiency of the Region or GBS Center, as well as sharing best practices with HR operations teams in other GBS Centers as appropriate.
• Recommend process improvements to drive efficiencies, knowledge, and consistencies in our procedures.
• Role may expand to include responsibilities for administration of additional HR processes

QUALIFICATIONS

Critical Experience:

• 6 months to 1-year related experience
• Ability to follow strict policy guidelines and recognize situations requiring call escalation
• Proficiency in Microsoft Office Suite
• Ability to work in a fast-paced environment
• Experience working in a Shared Services environment (HR Shared Services preferred)
• Experience in SAP, Workday (or similar), case management tools (Dovetail or SNOW preferred)
• Strong problem-solving, analytical, and critical thinking skills
• Excellent written and oral communication skills
• Ability to work in a collaborative team environment

Level Description
Professional’ Leveling Guide consists of jobs with a professional nature that require “learned knowledge” most often attained through advanced education and experience. This can include business and/or clinical professionals.

Market Summary
Develops, implements, and maintains human resource information systems associated with the collection, retrieval, accessibility and usage of employee information for Human Resource department planning and activities. Maintains internal database files and tables and develops custom reports. Works with Human Resources personnel to evaluate HRIS software and hardware needs and may design new or modify existing HRIS to meet changing demands.

Impact
• Entry Level position.
• Decisions have a minimal impact on results, productivity and/or expenditures.

Communication
• Interacts with internal stakeholders within own department, as well as external stakeholders which may include clients and customers.
• Influences internal and external parties, who typically have shared interests, to achieve short-term departmental and team objectives. Represents the organization within area of responsibility.

Innovation
• Recognizes and resolves basic, routine, or common problems requiring analytical skills.
• Problems and issues faced are neither difficult nor complex.

Knowledge
• Applies basic theories, skills and practices to accomplish work assignments.
• Typically requires a bachelor's degree without previous experience.

As a Medical Scribe, you will play a crucial role in supporting healthcare providers by accurately transcribing medical information into Electronic Medical Records (EMR) systems.

Operating in a virtual environment, you'll need to excel in independent work, maintain meticulous attention to detail, and exhibit exceptional typing and computer skills. Your role will involve transcribing various forms of medical documentation, including audio recordings, live conversations, and written notes, into EMR systems with precision and efficiency.

Responsibilities:

• Accurately document patient encounters, including medical histories, eye examinations, and treatment plans, in Eyefinity, the electronic medical record (EMR) system.
• Assist optometrists during patient examinations by recording findings, test results, and treatment recommendations in real-time.
• Coordinate with the pharmacy to send prescriptions and ensure timely delivery of medications to patients.
• Facilitate communication between the optometrist and other healthcare providers by sending referrals and coordinating follow-up care as needed.
• Answer phones and greet patients in a professional and friendly manner, providing assistance and directing calls to appropriate staff members.
• Accurately Document Patient Encounters: Utilize Eyefinity, the electronic medical record (EMR) system, to meticulously document patient encounters, encompassing medical histories, eye examinations, and treatment plans. Ensure all entries are accurate, timely, and compliant with regulatory standards.
• Assist Optometrists During Examinations: Collaborate closely with optometrists during patient examinations by diligently recording findings, test results, and treatment recommendations in real-time. Maintain attentiveness and precision to capture all relevant information effectively.
• Coordinate Prescription Management: Interface with the pharmacy to transmit prescriptions promptly and ensure the timely delivery of medications to patients. Uphold accuracy in prescription details and facilitate seamless communication to meet patient needs efficiently.
• Provide Professional Reception Services: Extend courteous and professional phone etiquette and in-person greetings to patients, offering assistance and directing calls to appropriate staff members promptly. Maintain a welcoming environment conducive to patient comfort and satisfaction.
• Efficient Appointment Management: Manage the clinic's appointment calendar adeptly, scheduling patient appointments and ensuring optimal utilization of clinic resources. Exercise proficiency in appointment scheduling software to streamline scheduling processes.
• Insurance Verification and Claims Processing: Verify patient insurance coverage and eligibility accurately, process insurance claims efficiently, and assist with pre-authorizations for procedures and treatments. Ensure adherence to insurance protocols and facilitate seamless billing procedures.
• Update Patient Information: Maintain accuracy and completeness of patient information and medical records in the practice management system (PMS) and EMR. Uphold strict confidentiality and compliance with HIPAA regulations and patient privacy laws.

• Demonstrated experience as a Medical Scribe, with a minimum of 30 hours of scribing experience, preferably in an optometry or healthcare setting.
• Background in medical receptionist or administrative assistant roles.
• Strong organizational and multitasking abilities.
• Excellent communication and interpersonal abilities, emphasizing exceptional customer service to patients.
• Proficiency in computer skills, encompassing experience with EMR systems, PMS systems, and the Microsoft Office Suite. Adaptability to learn and navigate new software applications efficiently.
• Ability to work both independently and collaboratively as part of a cohesive healthcare team.
• Understanding of HIPAA regulations and the importance of patient data confidentiality.
• Willingness to work on Pacific Daylight Time (PDT) schedule. 
• Own a Laptop or Desktop with 8GB RAM, Core i5 or above, and Microsoft Office. Plus, a reliable internet connection (at least 10 Mbps).

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking for a USRN Telehealth Nurse (Permanent Work from Home) to join our growing team ASAP. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are passionate about patient care, and looking to advance your career with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Other Details:

Possible start date will be in 2 weeks

8 hour shift Monday-Friday (graveyard shift)

Weekend days off

What You'll Do

• Manage patient calls to the nurse line regarding urgent appointments, medication refills, care instructions and a variety of other concerns
• Accurately document all communications in patient’s EMR
• Communicate with providers regarding appropriate patient care and advise patients of care instructions
• Maintains privacy and confidentiality of all patient protected health information according to HIPAA guidelines

• Active USRN License and US Social Security Card is a MUST
• Must be PH Based
• A detail oriented, multitasker who is passionate about patient care
• Amenable to work in US hour time (graveyard shift)
• An eager people-person who enjoys helping others over the phone
• An excellent communicator who is equally well written and well spoken
• Strong commitment to high level customer service.
• Previous experience working with health insurance, or a health care environment is preferred
• One-year practical work experience in a call center or equivalent customer service environment
• A self-motivated problem solver who works well within a team and also on their own
• Technologically savvy and able to learn multiple computer systems easily
• Adaptable, patient, organized and a critical thinker

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Permanent Work From home

Permanent Weekends Off

Great Company Culture and No Micromanagement

MedCore Solutions, Bizforce's medical division is currently seeking a Dental Insurance Verifier to join our team. As a Dental Insurance Verifier, you will play a critical role in the dental insurance process by verifying insurance coverage and benefits for patients. You will be responsible for working closely with dental providers, insurance companies, and patients to ensure accurate and timely verification of insurance information.

At MedCore Solutions we prioritize efficiency, accuracy, and excellent customer service. We are looking for a detail-oriented and organized individual who is experienced in dental insurance verification and has a strong understanding of dental terminology and procedures.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities:

• Assist and handle incoming calls from members and/or providers
• Verify dental insurance coverage and benefits for patients (and a little of dental claims)
• Communicate with dental providers, insurance companies, and patients to gather necessary information
• Ensure accuracy and completeness of insurance verification
• Enter and update insurance information in the system
• Resolve any discrepancies or issues related to insurance coverage
• Provide excellent customer service to patients by addressing their insurance-related inquiries and concerns

• At least 3 years of experience in dental insurance verification (members and providers) in the US healthcare
• Strong understanding of dental terminology and procedures
• Knowledge of dental insurance plans and coverage
• Detail-oriented with excellent data entry skills
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficient in using dental insurance verification software/systems
• Amenable to work in a graveyard shift

Other details:

Start Date: TBD

Schedule: 8 hours shift Monday - Friday; Days off: Saturday and Sunday

Type of Work: Full-time

Location: Permanent Work from Home

Duration: Steady State

Training: At least 1-2 weeks

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Permanent Work From home

Permanent Weekends Off

Great Company Culture and No Micromanagement

Benefits

Job Responsibilities:

• Provides medical services for the company, and coordinates with Hospitals and outside clinics.

• Administers first aid measures and gives immediate medical attention to sick and injured employees.

• Arranging Rapid Test and Swab Test for employees when necessary

• Establish health and safety programs • Responsible in dispensing medicine, Monitoring and inventory all medical supplies.

• With knowledge in processing and filling of SSS sick leave and other related mandated benefits.

• Responsible in receiving all HR Admin documents. • Accommodating employee’s concern.

• Assist applicant’s medical examination/ results for deployment.

• Responsible for the Annual Physical Examination Report/S.

• Assist in organizing company events, occasions, HR projects, and the like.

• Performs other HR functions as required by the department head and/or superior only after the appropriate training has been provided

•Monitor annual physical examinations and create a program based on the result

• Graduate with a Bachelor’s Degree in Nursing must be a licensed Nurse.

• Preferably with 40-hour Basic Occupational Safety and Health Training, First Aid, ACLS/BLS, and other OHS-related training

• Proficient in MS Office Application, Project Management, Database Administration, and People Handling

• Preferably with 1-2 years of experience in Occupational Health and Safety

• With basic knowledge in Admin/Human Resource Management

Other Requirements:

• Can work on-site

• Night Shift Schedule

• HMO with 1 free dependent upon hire
• Life Insurance
• Work onsite
• Night Shift
• 20 PTO credits annually
• Great Company Culture
• Career Growth and Learning
• PHP 25, 000 - PHP 30,000

MedCore Solutions, Bizforce's medical division, is seeking for skilled WFH Rheumatology Medical Billers to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home permanently and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities.

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for the care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: EST

Duration: Full-time Steady state

• At least 3-5 years of experience as a US Medical AR Specialist
• Knowledge of medical billing and coding practices
• Strong understanding of the healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)
• At least 1 year of experience in Physical Therapy billing
• Preferably with experience in Agile EMR

Key Results

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

MedCore Solutions, Bizforce's medical division, is seeking for skilled WFH Rheumatology Medical Billers to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home permanently and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities.

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for the care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: EST

Duration: Full-time Steady state

• At least 3-5 years of experience as a US Medical AR Specialist
• Knowledge of medical billing and coding practices
• Strong understanding of the healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)
• At least 1 year of experience in Physical Therapy billing
• Preferably with experience in Agile EMR

Key Results

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

At First Gen we take pride in our work of energizing the Philippines through clean power generation technologies. As we grow to become the best in the industry, we are continuously searching for talent who are driven, empowered, and passionate about making a positive difference in the world.

We provide employees with ample opportunities and resources that enable them to perform at their best, contribute value, and help us achieve our Mission of “forging collaborative pathways for a decarbonized and regenerative future.”

First Gen wants you to be good at your job and be successful at it.  To this end, we will invest in your professional and personal growth by providing you with the right tools to effectively carry out your role as well as learning and development opportunities to advance your career.

• Support First Gen Occupational Health Manager in the Implementation of various occupational health programs of the Company in compliance with the Mandatory Health Management Standards (MHMS)
• Develop and implement the Company’s Health and Wellness program
• Conduct health information, instruction, and training programs to key internal and external health stakeholders
• Ensures that the site clinic is administered in accordance with established medical and nursing policies and procedures to include but not limited to delivery of first aid and specialist referral services, conduct of routine health examinations (APE), maintenance of accurate and confidential medical records and reports, and proper maintenance of clinic supplies and equipment.
• Support the Company’s effort to mitigate the health impact of its activities in the communities in which it operates. Linking to sustainable development, social performance management and license to operate plans and activities. Support health initiatives of the Company’s CSR team on health
• Participate in site health audits and reviews as required
• Participate in occupational health competency development and training programs for health personnel
• Work as a team together with the entire QESH team in the implementation of health related team objectives and targets
• Performs administrative and other functions as required such as: preparation and administration of OPEX/CAPEX for the Company, prepare and submit health reports, among others
• Support in the overall implementation of QESH initiatives insuring alignment with the overall health strategy
• Perform other duties and tasks that may be assigned from time to time

Qualification Requirements:
- Registered Nurse
- At least one year work related experience
- Excellent written and verbal communication skills
- Good interpersonal skills
- Proficient in MS office applications (Excel, Word, PowerPoint)

Job Overview:

- The Project Manager is the central point of contact in organizing the team for the creation and delivery. 

- Deliverables include content in the form of presentations, videos, infographics and more; facilitated training events and workshops in person and virtual; other training as defined by the study team and sponsor.
- Lead teams to deliver on all aspects of project activities including briefing, planning, scheduling, budgets, financial reviews, and resourcing, ensuring the deliverables met time and quality goals
- Ensure the completion of set up and maintenance of all project documentation files and records taking responsibility for internal databases, tracking systems, and project plans with project specific information 
- Responsible for all financial activities relating to project delivery such as developing budgets, supporting scope development and acceptance, monitoring on project spend, analyzing timesheets and the ongoing forecasting of revenue and margins 
 

Task & Responsabilities:

•    Establish scope, timeline and budget
•    Ensure projects are delivered on time within the stipulated scope and budget.
•    Manage relationships between clients and stakeholders
•    Perform risk management analysis to reduce project risks
•    Report status and escalate to upper management as and when needed
•    Create and maintain a comprehensive project documentation
•    Understand project and program management methodologies
 

Qualifications:

•    5 years of project management experience with 1-3 years in the pharmaceutical industry or training development
•    Excellent communication and interpersonal skills
•    Good problem-solving skills
•    Strong influencing and negotiation skills
•    Excellent customer service skills
•    Strong software and computer skills, including MS Office applications
•    Competence in Project Management software such as MS Project, Smartsheet
•    Demonstrated knowledge of Project Management Competencies such as planning, scope management, risk and issue management among others.

IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world. Learn more at https://jobs.iqvia.com

#1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Has experience in using NextGen EMR/EHR

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

MedCore Solutions, Bizforce's medical division, is seeking skilled WFH Rheumatology Coders to join our team. As a Rheumatology Coder, you will be responsible for reviewing and analyzing medical records, assigning appropriate codes for diagnoses and procedures, and ensuring compliance with coding guidelines and regulations. This position offers the flexibility of remote work from home permanently.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request, our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities. 

Responsibilities

• Review and analyze medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes
• Ensure coding accuracy and compliance with coding guidelines and regulations
• Abstract clinical information from medical records and assign appropriate codes
• Collaborate with healthcare professionals to clarify documentation and obtain necessary details
• Stay updated with changes in coding guidelines and regulations
• Meet productivity and quality targets
• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long-term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding (Outpatient/Inpatient)
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Excellent communication and teamwork skills
• At least 1 year of experience in Rheumatology coding
• NextGen system experience - bonus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

MedCore Solutions, Bizforce's medical division, is seeking skilled WFH Rheumatology Coders to join our team. As a Rheumatology Coder, you will be responsible for reviewing and analyzing medical records, assigning appropriate codes for diagnoses and procedures, and ensuring compliance with coding guidelines and regulations. This position offers the flexibility of remote work from home permanently.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request, our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities. 

Responsibilities

• Review and analyze medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes
• Ensure coding accuracy and compliance with coding guidelines and regulations
• Abstract clinical information from medical records and assign appropriate codes
• Collaborate with healthcare professionals to clarify documentation and obtain necessary details
• Stay updated with changes in coding guidelines and regulations
• Meet productivity and quality targets
• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long-term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding (Outpatient/Inpatient)
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Excellent communication and teamwork skills
• At least 1 year of experience in Rheumatology coding
• NextGen system experience - bonus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

MedCore Solutions, Bizforce's medical division, is seeking for skilled WFH Rheumatology Medical Billers to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home permanently and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing. Upon your request our team of certified coders can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue-producing activities.

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for the care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Other details:

Start Date: TBD

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: TBD (US work hours)

Duration: Full-time Steady state

• At least 3-5 years of experience as a US Medical AR Specialist
• Knowledge of medical billing and coding practices
• Strong understanding of the healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)
• At least 1 year of experience in Rheumatology billing
• Preferably with experience in NextGen EMR

Key Results

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education

• Specialized Training

#1 PH Workforce Delivering to the US

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Medical Coders to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
•  Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details

• The possible start date will be in 2 weeks or earlier
• 8-hour shift Monday-Friday (graveyard shift)
• Weekend days off
• Duration: Long term; Steady-state

• Must be AAPC/AHIMA certified coder
• At least 3-5 years of clinical experience in Medical Coding
• At least 6 months experience in Rheumatology coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)
• Experience in using Athena Health EMR/EHR is a bonus

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5

• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

LOOKING FOR FILIPINO CITIZENS BASED IN THE PHILIPPINES

Job Title: Medical Writer | Content Writer

Work Hours:  Flexible Hours, as long as the work is being done (they're in GMT+4)

Holidays : TBD

Pay Range: $900- $1200

Duties and Responsibilities:

• Write all the various components required for service plans, ensuring accuracy, clarity, and consistency.
• Create service plans for their customers
• Produce a minimum of 1-2 pieces of content per day, provided all necessary information is available.
• Collaborate with cross-functional teams to gather relevant information and insights for content creation.

• Proficiency in Microsoft Office suite.
• Familiarity with Box software (training provided), similar to Dropbox, for efficient document management.
• Excellent communication skills, both written and verbal, with the ability to convey complex information in a clear and concise manner.
• A minimum of 3 years of experience in healthcare or social work is preferred, demonstrating a solid understanding of industry terminology and practices.
• Strong organizational skills with the ability to prioritize tasks and meet deadlines.
• Detail-oriented, ensuring accuracy and consistency in all written materials.

Salary: P40,000-60,000 (Monthly Package)

Schedule: Monday – Friday (8.00 AM- 5.00 PM ACT) *with required flexibility for overtime and weekend work when needed

What are we looking for?

Skills Required:

• Bachelor’s degree in information management, Information Technology, Information System, Computer Science, Computer Engineering, or equivalent.
• At least 2 years of experience in triaging within a fast-paced client servicing, retail, or technical support environment is required.
• Experience should include strong troubleshooting and problem-solving skills, along with the ability to effectively prioritize and effortlessly adjust to evolving scenarios.
• Strong commitment to delivering exceptional client service and effective communication skills, both in written and verbal form. Proven track record in cultivating positive relationships with internal and external stakeholders.

Nice to Have:

• Proficient in using JIRA or equivalent
• Technical understanding and demonstrated experience including Microsoft Office suite, .NET frameworks and SQL), Hardware OR Healthcare industry, especially Pharmacy Dispensary duties (such as Pharmacy Dispense Technicians as well as Pharmacists).

What will you do?

• Responsible for both Inbound and Outbound contacts from clients seeking first-line response to Technical, Procedural and General enquiries for company’s Products & Services, inhouse application/software issues across all channels.
• Diagnose, Investigate, Resolve and Escalate client cases, employing technical knowledge, skills, experience and judgement to ensure performance within defined Service and Quality standards.
• Duties are normally performed within a Call Centre environment, and you must be available to work variable shifts, including After Hours and on the weekend as required by the business.
• Ownership of cases including meeting commitments, following-through and working with other parts of the organization to ensure a consistent and compliant approach to the relationship management of our clients.
• Identify areas of systemic importance (including in Product, Service, and Operations) and escalate to allow insight, remediation and knowledge sharing across teams.

Join the awesome team and enjoy these benefits & perks:

• Temporary Home-based
• Medical, Dental Coverage and Life insurance
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Complimentary Sleeping Quarters, Coffee at no cost
• Complimentary Office Fitness and Wellness Facilities at no cost
• Regular Company Events, Work Life Balance, and Career growth opportunities
• Accessible location at the heart of Metro Manila --- the Mega Tower, EDSA

JOIN CONNECTOS NOW!

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

Our client is an innovative IT Services and IT Consulting company based in Sydney, Australia. They excel in creating software solutions for pharmacies that improve workflow efficiency. They also offer commercial payment solutions to renowned corporate entities in Australia, including government bodies and private enterprises in the real estate industry. With the capability to process millions of transactions annually, their customers benefit from a secure, efficient, and branded experience.

#ConnectOS #TeamConnectOS

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age’, race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

We are seeking a skilled and experienced Medical Biller to join our team.
The successful candidate will demonstrate a strong attention to detail and accuracy in claims processing, along with excellent communication and interpersonal skills for effective collaboration with team members, insurance companies, and patients.

Duties and responsibilities:

• Utilize proficient understanding of CPT & ICD-10 coding and medical billing procedures to accurately prepare and submit medical insurance claims.
• Demonstrate knowledge of insurance claim submission processes and reimbursement practices to ensure timely reimbursement.
• Verify and review claim information for completeness and compliance with billing regulations.
• Record and reconcile payments received from insurance companies and patients.
• Ensure accurate posting of payments and adjustments in the billing system.
• Collaborate effectively with team members, insurance companies, and patients to resolve any billing discrepancies or issues.
• Managing insurance and patient Accounts Receivable (A/R), resolving billing discrepancies, addressing insurance denials and rejections by sending claims for reprocessing and/or submitting corrected claims/appeals as necessary.

• Minimum of 3-5 years of experience as a medical biller.
• Proficient understanding of CPT & ICD-10 coding and medical billing procedures.
• Strong attention to detail and accuracy in claims processing.
• Excellent communication and interpersonal skills.
• Familiarity with medical billing software and electronic health records (EHR) systems.
• Excellent English communication and interpersonal skills (oral and written).
• Proficient with Microsoft Office applications, including Word, Excel, PowerPoint, and OutlookExperience managing insurance and patient Accounts Receivable (A/R) and a comprehensive understanding of handling insurance denials and rejections
• Understanding of HIPAA regulations and the importance of patient data confidentiality
• Strong problem-solving skills and ability to work with minimal supervision
• High school diploma or equivalent
• Willing to work in the Pacific Time (PST) schedule (8:00 AM - 4:00 PM PST). This is during the graveyard shift in Manila Time
• With own Laptop or Desktop (8GB RAM, core 5 above) with an internet connection of at least 10mbps.

#1 PH Workforce Delivering to the US

MedCore Solutions, is seeking a skilled Prior Authorization Specialist with Medical Billing experience to join our growing team. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

Responsibilities

• Review and process prior authorization requests for medical services, procedures, and medications
• Verify insurance information and eligibility
• Coordinate with healthcare providers and insurance companies to obtain necessary authorizations
• Ensure accurate and timely documentation of authorization requests and approvals
• Collaborate with medical billing team to resolve any issues or denials
• Maintain up-to-date knowledge of insurance guidelines and procedures
• Manage accounts receivables and keep up-to-date records
• Tasks will gradually transition into a Biller/AR task
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Requirements:

• Previous experience as a Prior Authorization Specialist in a medical billing setting
• Strong understanding of medical billing and insurance processes
• Excellent communication and interpersonal skills
• Detail-oriented with strong organizational skills
• Ability to work independently and meet deadlines
• Proficient in using medical billing software and MS Office Suite
• High school diploma or equivalent, relevant certifications a plus
• Comfortable working in a remote, work-from-home setup

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

What IT Client Services contributes to Cardinal Health

Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.

IT Client Services provides Tier 1-3 virtual and physical support to the organization's end users for software, hardware, conference room technology and meeting support, warehouse technology, server, network, and enterprise systems issues. Frequently responding to escalated issues from the IT Service Center family, this job family resolves user requests through discussions with users and coordination with internal and external resources, and provides education and trainings to users to facilitate knowledge transfer and prevent problem reoccurrence. IT Client Services also maintains ownership for certain end user productivity platforms and capabilities, such as virtual environments and collaboration toolsets, and addresses service outages. This job family acquires, installs and upgrades PC components and software, while also performing asset management for software and hardware.

Job Description/Expectation:

• Primary responsibility will be providing end-user support and resolutions to Windows OS and SCCM/MEMCM Client related issues.
• Coordinates and performs software deployment from scoping, testing to execution.
• Create, review, maintain or improve processes/ technical documentations within area of technology concentration.
• Strong customer service skills and communication skills

Job Requirements:

• Required Expertise:
  • Working knowledge of SCCM/MECM on deployments, packages, applications, and task sequences
  • Windows 10/11 OS troubleshooting
  • 2-3 yrs Experience In supporting Windows on a SCCM/MECM managed environment
• Knowledge/Know-how needed:
  • PowerShell scripting (PSADT Software packaging)
  • Intune MDM/Autopilot
  • Report Builder/SSRS
  • End-point Privilege Access Management Solutions
• Required Exposure:
  • Strong Communication Skills

Technology Required:

• Primary Technology: Microsoft SCCM/Intune, Windows 10/11,  Microsoft 365 (Desktop Applications), Active Directory
• Secondary Technology: ServiceNow, JIRA
• Optional/Nice to have: JamfPro/other MDM solutions, iOS, Android OS

Minimum Years’ Experience: 2-3 Years

Preferred Educational Background:  Bachelor’s degree in IT or any IT related field

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here

What IT Client Services contributes to Cardinal Health

Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.

IT Client Services provides Tier 1-3 virtual and physical support to the organization's end users for software, hardware, conference room technology and meeting support, warehouse technology, server, network, and enterprise systems issues. Frequently responding to escalated issues from the IT Service Center family, this job family resolves user requests through discussions with users and coordination with internal and external resources, and provides education and trainings to users to facilitate knowledge transfer and prevent problem reoccurrence. IT Client Services also maintains ownership for certain end user productivity platforms and capabilities, such as virtual environments and collaboration toolsets, and addresses service outages. This job family acquires, installs and upgrades PC components and software, while also performing asset management for software and hardware.
 

What is expected of you and others at this level:

• Share knowledge and insights with colleagues and clients to enhance the overall expertise of the team and ensure clients can effectively utilize their cloud resources.
• Demonstrate the capability to perform duties with limited supervision.
• Provide troubleshooting and Windows end-user support.
• Resolve tier 2 and 3 tasks/incidents with precision.
• Create and maintain detailed documentation of configurations, procedures, and troubleshooting steps to aid in issue resolution and knowledge sharing.
• Participate in 24x7 rotating shifts, including on-call support, and potentially in Hypercare Support, ensuring uninterrupted service. (Hypercare Support involves intensified support during critical periods.)
• Contribute to report preparation and distribution, particularly for Amazon WorkSpaces and Citrix health checks.
• Possess a solid understanding of various cloud platforms, including Amazon WorkSpaces (AWS), Citrix, and Win365, to effectively manage and support cloud environments.
• Exhibit proficiency in scripting and automation using commonly used scripting languages and automation tools.
• Display strong customer service and communication skills as essential attributes.

Job Requirements:

• Expertise in Windows Operating System support and strong troubleshooting skills.
• 3-5 years of experience in supporting Virtual/Cloud environments.
• Knowledge of Microsoft 365 support for desktop applications.
• Familiarity with Windows applications support, Citrix administration, and Amazon WorkSpaces.
• Understanding of Microsoft Windows Server 2012/2016/2019 and Active Directory.
• Strong communication skills are required.

Optional/Nice to Have Requirements:

• Amazon Web Services (AWS), Microsoft 365 Cloud PC, and Citrix certifications: (e.g., Amazon Web Services (AWS) Certified Solutions Architect, Microsoft 365 Certified: Modern Desktop Administrator, Citrix Certified Associate). These certifications are optional but highly beneficial as they demonstrate expertise in the respective technologies and can enhance the candidate's qualifications.

Technology Required:

• Primary Technology:

• Amazon WorkSpaces: This refers to Amazon WorkSpaces is a cloud-based desktop-as-a-service (DaaS) offering provided by Amazon Web Services (AWS)
• Citrix: Citrix is a virtualization and application delivery platform that enables remote access to applications and desktops.
• Win365/Cloud PC: Win365/Cloud PC involves Windows 365 and Cloud PC virtual desktops, which offer cloud-based Windows computing solutions.
• Microsoft 365 Desktop application: This includes the suite of Microsoft Office applications and desktop software used for productivity.

• Secondary Technology:

• ServiceNow: ServiceNow is a service management and ticketing tool used for streamlined IT service operations.
• Jira: Jira is an issue and project tracking tool that helps manage tasks and projects efficiently.
• ControlUp Management Console: ControlUp Management Console is used for monitoring and managing virtual environments, ensuring optimal performance and resource utilization.

Minimum Years’ Experience: 3-5 years

Preferred Educational Background:  Bachelor's degree in IT or any IT related field or equivalent work experience.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here

What IT Client Services contributes to Cardinal Health

Information Technology oversees the effective development, delivery, and operation of computing and information services. This function anticipates, plans, and delivers Information Technology solutions and strategies that enable operations and drive business value.

IT Client Services provides Tier 1-3 virtual and physical support to the organization's end users for software, hardware, conference room technology and meeting support, warehouse technology, server, network, and enterprise systems issues. Frequently responding to escalated issues from the IT Service Center family, this job family resolves user requests through discussions with users and coordination with internal and external resources, and provides education and trainings to users to facilitate knowledge transfer and prevent problem reoccurrence. IT Client Services also maintains ownership for certain end user productivity platforms and capabilities, such as virtual environments and collaboration toolsets, and addresses service outages. This job family acquires, installs and upgrades PC components and software, while also performing asset management for software and hardware. service outages. This job family acquires, installs and upgrades PC components and software, while also performing asset management for software and hardware.

Minimum Years’ Experience: 3-5

Preferred Educational Background: Bachelor’s Degree in related field or equivalent work experience.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here