Requirements

• At least 2 Years of experience as a Operations Manager.

• At least 2 Years of experience in Telco Sales / Service account

• Knowledge of billing procedures, collection techniques and upsell.

• Knowledge of Outlier management and coaching techniques.

• Proven experience and knowledge as a Resolution Supervisor

• Working knowledge of MS Office and databases.

• Comfortable working with targets to exceed our client’s expectations.

• Excellent communication skills (written and oral)

• Organization, proper decision-making, and analytical problem-solving skills.

Responsible for the development of team leaders/coaches

• Must be willing to work onsite

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

POSITION DESCRIPTION

Development Coach
Location: 1800
Reporting to: Client

Acquire BPO is an award-winning outsourcer providing contact centre and back office services with a vision to connect organizations to skilled people globally. Our mission is to be the partner of choice for corporate growth, by enabling businesses to leverage the best global resources at the right price.

The Trainer’s core responsibility is the development of the company’s frontline employees through the conduct of Foundation Skills and other Program-specific Training courses to meet the requirements of the program, its clients, and, ultimately, their customers. The Trainer is equated to a conduit that allows the successful transferring of learning to a target audience by exhibiting adeptness in leading discussions, creating rapport, handling objections, managing difficult behaviors, and using appropriate feedback methods – all for the promotion and enrichment of the employees’ knowledge, skills, and attitude. The Trainer, being at the forefront of employee development, is also tasked to cultivate a culture of excellence amongst employees – all the time, for he/she is the first representation of the company’s model employee for every new hire.

You are a Development Coach, a champion in your field. As part of the A-team, your role plays an important part in our success. Your tasks for the day include, but are not limited to, the following:

• Responsible in ensuring that the agenda is mapped according to timelines agreed and sessions/topics are aligned according to need and training need, and ensuring that the Training Checklist is being followed
• Responsible in producing all relevant Training Manuals that need to be shared as hard/soft copies including Assessments and TPAs.
• Responsible in making sure that all documents are being signed by the new hire employees (Training Performance Agreement, Sign off Sheets)
• Responsible in requesting for the log in credentials of the new hires
• Responsible in creating request for the accountabilities of the new hires (Headset, Amplifier)
• Responsible in securing and liquidating the Training budget
• Responsible in providing Training related reports
• Responsible in administering all training platforms and logistics
• To act as Team Leader during Transition Bay of new hires
• Flexibility to Cover Team Leader Roles: Demonstrate flexibility to cover for Team Leaders in case they are not available, ensuring continuity and effectiveness in team operations.
• Schedule and facilitate face-to-face, e-learning and practical learning modules to team members covering the training materials and foundational skills required.
• Assist with various Learning & Development and operations training related projects

In a nutshell, you have won the day when you make customers happy with your best and excellent service!

Consistent to our goal as an organization, at Acquire BPO, we are looking for individuals who are passionate in winning; those who enjoy achieving goals with the determination to go beyond hurdles. As a Learning and Development Trainer, you can perform well if you have:

• Open and positive personality
• Excellent English language communication skills
• Excellent Public Speaking and Business Writing skills
• Effective in communicating complex topics
• Able to facilitate an effective coaching session
• Able to maintain and work under pressure within tight SLAs
• Strong accountability on agreed KPIs
• Demonstrates capacity to work effectively within a team
• Excellent at prioritization of tasks and has sense of urgency
• Highly organized and keen on details
• Able to maintain an appropriate standard of professionalism
• Flexible to changes
• Able to maintain utmost confidentiality and comply with all policies, processes and procedures outline by Pioneer and Acquire Employee Handbook, Principles and Code of Conduct.
• Ensure that daily activities are aligned with relevant guidelines and legislation including Privacy Act, Trade Practices Act and NCCP etc.
• A good track record in current position

We’re proud of our diverse global team, all working in a collaborative environment and happy to share these common values:

• Collaboration: Brilliant jerks can be brilliant elsewhere.
• Impact: Do, get it done, create impact.
• Passion: Be positive, bring passion and energy.
• Transparency: A transparent team can help each with other.

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

POSITION DESCRIPTION

SENIOR MANAGER, COLLECTIONS & FINANCE OPERATIONS
Metro Manila, Philippines

Reports to: Retail Collections Manager, Vocus (Australia)
 

We’re an award-winning global outsourcer providing a suite of contact centre and back office services. We’re proud of our success as Australia’s largest outsourcer to the Philippines and as our Senior Manager, Collections & Finance Operations you’ll continue to drive success for our accounts through leading people and projects for the campaign whilst promoting continuous improvement in a high-performance culture.

A SNAPSHOT OF YOUR ROLE

• Oversight of call centre performance with key focus on collection targets and reducing delinquency on a receivables portfolio of over $50m
• Coaching and mentoring Team Leaders reporting to the role, with an emphasis on facilitating their development and their ability to generate improvements in team quality, efficiency and effectiveness
• Modelling and actively promoting a culture of innovation, challenging the status quo to ensure the business continues to grow and evolve
• Effectively leading the team with a collaborative approach that promotes team synergy and improves staff engagement
• Overseeing operational systems and processes, while actively seeking opportunities for innovation to drive achievement of business objectives
• Anticipating and tracking operational risks and trends to provide strategic solutions, optimising processes and their execution
• Raising and addressing issues and conflicts, removing barriers, resolving issues of medium complexity involving stakeholders and escalating to appropriate level when required
• Managing day to day operations within the Collections department, including recruitment, training, development, engagement, retention, performance of the team, and any changes to the operating model as required
• Effectively managing budgets and resource schedules
• Together with AU leadership, playing a significant role in long-term planning, project status reporting, and effectively driving change management and process improvement initiatives
• Completing reasonability testing and information validation prior to circulating findings and recommendations to key stakeholders
• Working closely with the management team to ensure all operational, administrative, and regulatory/compliance functions are being properly executed
• Seeking and responding to feedback with prompt and appropriate actions to deliver improvement
• Collaborating with team members and stakeholders to ensure seamless business execution, reinforcing positive morale, and upholding company values
• Overseeing and reporting weekly, monthly, quarterly, and annual metrics, providing thorough analysis and subsequent action planning
• Establishing and maintaining strong stakeholder relationships, and acting as point of contact for IT, BI, CC&OE, HR and other support functions

A BIT ABOUT YOU

• Strong leadership and influencing skills, with demonstrated experience in developing and leading high performing teams
• Minimum 5 years’ management experience, running a critical business function with multiple teams, products and operating requirements. Process transformation experience is required.
• Proactive, strategic thinker with an innovative approach
• Proven experience in effective coaching and development of emerging leaders
• Detail oriented and analytical, able to interpret data, identify trends, and make suggestions for improvements
• Methodical approach to problem-solving, with tenacity to work continuously toward a suitable solution
• Excellent decision-making skills, backed up with the ability to justify reasoning and take accountability for results
• Ability to work with confidential and time sensitive issues
• Ability to plan, organise, track and coordinate initiatives
• Must possess a professional, courteous, and resilient attitude
• Proven track record of meeting targets and delivering tangible outcomes
• Excellent interpersonal communication and organisational skills
• Ability to build productive business relationships with peers, direct reports and stakeholders.

WHAT SUCCESS LOOKS LIKE

• Individual and portfolio Key Performance Indicators at or above target
• Engaged and enthusiastic teams
• Reduced attrition and absenteeism
• Strong relationships within Acquire, with Vocus leadership and with other stakeholders
• Completion of initiatives within required timeframes
• Improved efficiency and effectiveness of team members
• Reduction in Telecommunications and Energy Ombudsman complaints

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!

This role will give you the opportunity to:

• 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:

• 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

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.

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