The Software Engineer - Level II - develops, implements, and maintains software solutions that enable business operations to realize company goals & objectives. The incumbent performs analysis, design, coding, debugging, testing, and support of software applications. May be assigned to develop new applications/systems, enhance/upgrade existing systems or provide production support. He/she works independently on moderately complex projects, receiving only general direction. May provide assistance and direction to less experienced peers.

We are seeking a highly skilled backend developer to join our team. The ideal candidate will have experience in .NET Core, Azure, microservices, SQL, and AKS. In this role, you will be responsible for designing, developing, and maintaining the backend of our applications.

Strategic Analytics is a growing team at Arch that has established itself as a driving force in the success of the business. We focus on implementing real-time analytic solutions that improve profitability and growth. To broaden our impact, we have expanded our focus to deliver business-driven intelligent data automation capabilities that combine data from external vendors with intelligent document processing (IDP) technologies. This includes working with artificial intelligence/machine learning, NLP, OCR, generative AI, and algorithmic-based solutions.

As a key member of the Strategic Analytics team, you will support the solution definition, build and implementation of IDP/AI opportunities across operations, claims, finance, and underwriting teams.  You will apply the right mix of technologies across the underwriting and claims functions.

Job Responsibilities

• Deliver automated document extraction and data enrichment solutions.

• Manipulate data using Python or SQL Server; develop ad hoc queries to investigate data anomalies and to summarize data for pattern detection.
• Manually label and validate small training data sets.
• Develop round-trip data flows that prepare data for IDP and format the results for analytical purposes
• Collaborate with experienced modelers to build predictive models and analytic solutions using Python; apply techniques such as decision trees and clustering.

• Under supervision use AI technologies such as natural language processing to extract business data from unstructured and semi-structured sources (e.g., loss history reports, insurance applications, claim files, application scraping using OCR/ generative AI, etc.).
• Create technical documentation to archive end-to-end processes.

The finance analyst is responsible for collection, organization, interpretation, analysis, recording, documentation and dissemination of financial information. The candidate will process and reconcile finance related transactions with a strong focus on accuracy, timeliness, customer service and the ability to work in a fast-paced environment. The candidate will provide support during night shift corresponding to Bermuda working hours and be part of the Finance team.

The Datawarehouse Developer has responsibility of development and maintenance of Reinsurance Datawarehouse Application used extensively by Reinsurance business teams. The Senior Datawarehouse Developer will work closely with the rest of the Arch Re product management team and business peers to effectively execute Datawarehouse project initiatives. This person should be able to deliver in a fast-paced and deadline-driven environment.

• Development and maintenance of Reinsurance Datawarehouse Application
• Collaborate with internal and external technology and business partners to implement product changes
• Produce detail design and unit test documents, as required
• Critically analyze business requirements, architect and implement Datawarehouse solutions
• Define, develop and maintain standards and processes to ensure effective ETL solution
• Production maintenance
• Work closely with product manager to develop and execute action plans to address gaps
• Recommend innovations that enhance and/or provide a competitive advantage to the organization
• Communicate effectively with both the business and technical teams

The data analyst is responsible for collection, organization, interpretation, analysis, scrubbing, documentation and dissemination of complex data sets. The candidate will provide analysis, will process and normalize the data to ensure data integrity and will create queries, views and reports. The candidate will review, input reinsurance submission data, set up the Property pricing models, create a comparison to the expiring contract wording, and document files in the directory after business is bound. Communication with the underwriters is essential. 

Job Responsibilities

• Interpret data, analyze results, and provide ongoing reports
• Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality
• Acquire data from primary or secondary data sources and maintain databases/data systems
• Identify, analyze, and interpret trends or patterns in a complex data sets
• Filter and scrub data, and review reports and performance indicators to locate and correct code problems
• Locate and define new process improvement opportunities

POSITION DESCRIPTION

Position Title: Employee Engagement Officer

Location: Metro Manila Reporting to: Country Manager

As the Employee Engagement Officer, this role works to improve the level of engagement, satisfaction, and commitment among employees in our organization and assumes complete accountability for designing and implementing strategies and initiatives that foster a positive work culture and enhance the overall employee experience such as Virtual and in-person events. Creativity and relationship-building skills with employees, business leaders, and the community is vital for this role.

A SNAPSHOT OF YOUR ROLE
• Leads in developing strategies, budgeting, and initiatives to promote and achieve a culture of excellence and employee engagement.
• Leads in the development and delivery of the organization’s calendar of activities such as Birthdays, Anniversaries, Monthly Events, Community Service, and other morale-building activities.
• Interact and collaborate effectively and positively with individuals of all levels of the organization, including the employees themselves to ensure the organization is showing appreciation and recognition for its employees.
• Work with the Marketing team and other related departments for site-wide communications, promotional materials, upcoming events, activities, and social media posting.
• Utilise appropriate and available communications channels to ensure key messages reach target audiences at agreed intervals, in line with corporate guidelines.
• Keep accurate records, produce reports and provide statistical data for analysis and performance management purposes.
• Expected to support key internal and external relationships with (but not limited to):

o Suppliers
o Change & Capability Team
o Manila Operations
o Internal business counterparts

A BIT ABOUT YOU
• At least 3 years of Employee Engagement experience
• Experience in BPO setting is a plus!
• Good communication skills
• Must be willing to work onsite

WHAT WE VALUE
We’re proud of our diverse global team, all working in a collaborative environment and happy to share these common values:
• Collaboration
• Impact
• Passion
• Transparency

Join the A-Team and experience the A-Life!

Strategic Analytics is a new, growing team at Arch. The team develops innovative predictive models and analytical tools to improve profitability and growth. This position will help support the technical needs of the Strategic Analytics team. The focus of the position is to create and support dashboards developed in Microsoft Power BI, R/Python, and other visualization software that will assist the business in uncovering actionable insights. As a key member of the team, you will work closely with business users, data engineers, and data scientists to provide customized visualizations that facilitate an interactive and user-friendly experience.

• Accurate and timely turnaround on all payables for various entities  
• Actively monitor AP mailboxes for incoming invoices and vendor statements  
• Code invoices using complex GL, cost center and intercompany allocations 
• Assist with projects that entail problem solving, analysis and reconciliation 
• Provide excellent customer service to internal and external customers  
• Meet various deliverables for monthly and quarterly financial close   
• Collaborate with the AP team for best practices and process improvement 

#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

The Junior Finance Analyst is responsible for collection, organization, interpretation, analysis, recording, documentation and dissemination of complex data sets. The candidate will process and reconcile accounts receivable (AR) and cash receipt transactions in the AR subsidiary ledger/system with a strong focus on accuracy, timeliness, customer service and the ability to work in a fast paced environment. The candidate will provide support and be part of the Australia Finance team.

• Input, record, process, reconcille, maintain cash receipts and premium receivable 
• Execute daily finance operational activity and document management • Work closely with Finance & underwriting operations department in respect of identifying receipts
• Perform allocation or application of cash receipts to written premium
• Analyse, identify and document inconsistencies with booked premium transactions
• Liaise with internal underwriting operations and external brokers to obtain required information
• Analyse, review and allocate items of unallocated cash resolved by underwriting operations team
• Assist in quarter close process and annual audit
• Perform financial analysis, reconciliation and generate key reports
• Assist in preparation of aged debt report

Vversee productivity by assessing, analyzing, and reporting employee productivity at the individual, departmental and institutional levels. Determine the best way to utilize employees' productivity skills using techniques and theories of workforce management.

This role will give you the opportunity to:

• Work in a key part in the insurance industry, Reinsurance. The domain knowledge you will gain is in high demand.
• Be a part of an International Team: Our team is spread across USA, Philippines, and India.  
• Work in Cloud: We are heavily invested in Cloud and only getting started.
• Automation: You’ll work on creating new processes and tools that will replace manual processes and add more value to business.

Our CI/CD Stack:
GitHub, GitHub actions, SonarQube, JFrog Xray, ArgoCD

Our QA Stack:
Selenium, Eclipse, Java.

Our Dev Stack:
.NET/SQL Server, Azure

• This role will give you the opportunity to:

  • Work in a key part in the insurance industry, Reinsurance. The domain knowledge you will gain is in high demand.
  • Be a part of an International Team: Our team is spread across USA, Philippines, and India. 

• Work in Cloud: We are heavily invested in SnowFlake Cloud and only getting started.
• Offers an opportunity to showcase Data Visualization strengths in SQL, Power BI and SSRS.
• Great opportunity to come in at the ground level and build out the BI team and structure within a large organization.

Our DB Stack:
.NET, Power BI, Cortex, SSRS, SQL Server, AKS, SnowFlake

The Actuarial Analyst provides Reserving and Pricing support as part of the UK General Insurance Actuarial team.  The candidate will process, validate and interpret data to statistically model and determine results for the business. The candidate will be required to develop, maintain and update reports and communicate results into the Senior members of the Actuarial team.

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

Our purpose

Here at Datacom, we connect people and technology in order to solve challenges, create opportunities and discover new possibilities for the communities we live in.

The Nitty Gritty

We have over 6,200 people across our global offices, and generate an annual revenue of over $1.2 billion, this makes us one of Australasia’s largest professional IT services companies. We have extensive expertise in operating data centers, providing IT services, software engineering, and application management, as well as payroll and customer service design and operations. With this comes a long list of significant clients Datacom is committed to the hiring, developing and promoting the best talent from a diverse range of backgrounds. We are local at heart, yet world-class in capability.

What you'll do

• Assisting customers with the activation and setup of their product and services
• Validation of the customer’s entitlement for support (e.g. a client’s customer, account is current, level of support service entitlement)
• Logging all customer incidents upon receipt into the approved case management system;
• Providing support to customers by:
• Providing a timely and clear indication of the nature of the incident,
• Communicating what steps will be taken to attempt to resolve the incident,
• Setting the customer’s expectation on what the estimated time to resolve the issue is,
• Providing any potential short-term alternatives or workarounds to the customer,
• Making reasonable efforts to ensure the customers understand the information they have been provided;
• Resolving customer incidents wherever possible; and
• Escalating customer incidents to Tier 2, where not able to be resolved by Tier 1

What you'll bring

• 4-year technical degree or equivalent work experience
• 1-3 years’ experience in technical support or MIS in an Enterprise environment
• Ability to properly use all Microsoft tools including MSSolve, Knowledge Base, Order Entry, Internet and Intranet Resources
• Prior knowledge in at least one of the following disciplines is required: network operations, networking protocols, network authentication, messaging technology or messaging protocols, or other technical skill strengths with an online service or network communications
• Competencies before handling first interaction/call (verified by Vendor after New Hire Training)
• Ability to search and understand KB articles to troubleshoot customer issues
• Working knowledge of Microsoft Windows Desktop Operating Systems (Windows 7 onwards)
• Minimum working knowledge of Microsoft® Windows NT® Server and Windows 2008 Server R2

We have a Hybrid work Arrangement, We also provide Exciting perks such as Spotter Bonus, HMO with 4 Free Dependent, Leave credits, Performance bonuses, and a work-life balance environment

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

Support the deployment & sustainment of initiatives with data collection, analysis,
summary, recommendations monitoring and reporting that will help to drive repeatable problem solving and leadership routines

• Develop reporting and analysis tools to support Leaders and Teams to sustain continuous improvement in their area including their own management practices and routines.
• Possess good understanding of analytics tools (PowerBI, Alteryx, Excel, PowerPoint etc.) to drive historical data trends, volume analysis, visual representations of the KPIs
• Interpret data, analyze results using statistical techniques and provide ongoing reports
• Help in the Development and implementation of databases, data collection systems, data analytics and other strategies that optimize statistical efficiency and quality
• Acquire data from primary or secondary data sources and maintain databases/data systems
• Locate and define new process improvement opportunities

Support the deployment & sustainment of initiatives with data collection, analysis,
summary, recommendations monitoring and reporting that will help to drive repeatable problem solving and leadership routines

3-5 years of experience using data mining to extract information from data sets and identify
correlations and patterns

• Experience in organizing and transforming information into comprehensible structures
• Ability to leverage data to predict trends in the customer base and the consumer population as a whole
• Technical expertise regarding data models, database design development and data mining
• Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
• Adept at queries, report writing and presenting findings
• Comfortable using tools and techniques to visualize data in easy-to-understand formats, such as diagrams and graphs
• Prepare reports and present to management
• Identify and recommend new ways to add efficiency by streamlining business processes
• Monitor data quality and remove corrupt data
• Communicate with stakeholders to understand data content and business requirements
• PowerBI, Database Management (SQL, Access, Cloudera), Alteryx, Python or equivalent Analytics Program, Microsoft excel, Lean Six Sigma

Arch is seeking a proactive, results-driven individual to join our Global Internal Audit (“IA”) team as Senior Internal Auditor. As a Senior Internal Auditor, you will gain hands-on experience with business and technology processes, risks, and controls. You will also build direct relationships with key business, technology, and audit leaders as part of your efforts to conduct risk assessments, develop process and control documentation, perform audit/testing procedures, and identify process and control improvement opportunities. The Senior Internal Auditor may also lead aspects of Internal Audit projects and/or SarbanesOxley (“SOX”) program activities. This position offers the opportunity to be a leader now and grow through
demonstrated performance.

• Serve as a team member on Audit/Advisory projects and/or SOX program efforts
• Perform Audit/SOX activities including interviews, walkthroughs, testing, wrap-up, and issue follow up
• May lead certain aspects of Audit/Advisory projects and/or SOX program efforts including engagement
• planning, depending upon skillsets and project requirements
• May oversee Internal Auditor(s) on projects, depending upon skillsets and project requirements
• Participate in the SOX and Audit Plan development process

This primary role is to drive process improvement initiatives across Insurance domain. Work with Operations collaboratively to address client issues and present solutions, projects, progress to Global clients. Deliver projects as per the agreed frameworks (Agile) and governance model. Atleast GB certified • Ability to manage multiple stakeholders and have focused and quality interactions view to drive decisions and mitigate project risks. Sr GroupQuality is expected to lead mid to large scale Quality projects including all aspects like ideation, solution design, development and implementation, closure and benefit realization. The projects managed by the team are in-line with the organization’s priorities on themes like process improvement, operational excellence, automation, migration and restructuring.

#1 PH Workforce Delivering to the US

MedCore Solutions, the Medical Division of Bizforce, is seeking a skilled Prior Authorization Specialist to join our growing team. The Prior Authorization Specialist we be primarily responsible for obtaining all types of prior authorizations. These prior authorizations will include biologic medications, procedures, prescriptions and out-patient testing. The position will require professional and courteous interaction with patients, pharmaceutical representatives, providers, pharmacies and insurance carriers to accurately obtain the required information to process prior authorizations.

Responsibilities

• Review and process prior authorization requests for medical services, procedures, and medications
• Verify insurance (pharmacy) information and eligibility
• Handle patient inquiries regarding authorizations
• Provide necessary prior authorization documentation to patients for completion and signature. Review all forms for completeness and accuracy.
• Accurately document all patient, pharmacy and insurance carrier interactions in EMR.
• 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
• Complete other tasks as assigned by providers through EMR/EHR
• Copy, fax and mail documents and information as requested by insurance carrier
• Schedule follow-up appointments, biologic injections and photodynamic therapy treatments
• Assist pathology department with notifying patients of pathology results via telephone
• Fulfill organizational responsibilities as assigned, which may include but are not limited to: respecting and promoting patient’s rights, responding appropriately to emergency situations, sharing problems relating to patients and/or staff with Care Center Leader in a timely manner
• Provide safe patient-centered, compassionate, and competent care

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

• Proven 3-5 years of experience as a Prior Authorization Specialist in the US Healthcare

• 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
• Comfortable working in a remote, work-from-home setup
• Experience handling Physical Therapy practice/account
• Experience using Agile EMR is a bonus
• Amenable to work in a graveyard shift

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 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

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.