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

The Sales position is responsible for revenue generation from new and existing customers within event portfolio in Informa Markets Philippines. This role will manage Sales to different tier customers depending on the market and brand context.  This team is critical to the business, as the key to our success is retention, growth and cultivating new business.

The Sales role will involve a combination of internal and external sales activity, meeting customers face to face and attending competitor events. He/ She will sell to valued existing customers, generate new business, and performance will be evaluated based on achieving revenue and new business targets.

The Sales will be expected to develop their awareness of the brand industry, building greater insight over time. Maintaining and strengthening the relationship throughout the year is an important focus, to develop an understanding of the customers’ needs and expectations from their attendance at the event. He/ She will understand the customers’ needs and articulate a compelling value proposition as part of the sale. They will have a significant role in supporting re-booking of customers at an Event, while also providing support as a guest re-booker for other brands.

Job Responsibilities:

• Meet or exceed revenue target for assigned accounts through sales (digital, booth, sponsorship/ advertisement, and fully integrated packages)
• Sell to existing/ lapsed customer accounts with engaging conversations and compelling proposals while guiding them through buying process
• Prospect and close new business opportunities inside and outside of existing client base through cold calling and follow-up calling
• Leverage understanding of customer buying trends to help develop Sales plans and approaches
• Execute on assigned Sales campaigns, against accounts, products, and revenue targets, in line with sales plan
• Support the on-site re-booking of existing customer accounts, in line with at event account allocation and sales targets
• Maintain accurate pipeline, sales activity, and customer information within Salesforce (CRM system)
• Distribute customer insight and marketing information to marketing team
• Manage the handing over of sale information and customer requirements (via Salesforce) to the event Operations and Brand teams

We are currently looking for a Sales Operations Manager who is dynamic, data-driven, and results-oriented to join our team. Your main responsibility will be to optimize our sales processes and work closely with the Sales Performance Manager to drive sales. Furthermore, you will identify opportunities through data analysis to improve overall sales performance.

Responsibilities:

• Collaborate with sales teams to streamline processes and improve sales productivity.
• Analyze sales data to provide insights and recommendations for performance improvement.
• Use data to drive team performance and identify individual opportunities
• Manage and optimize CRM systems to support sales and reporting needs.
• Work closely with cross-functional teams to align sales objectives with broader company objectives.
• Develop and maintain sales performance metrics and KPIs.
• Conduct regular sales forecasting and analysis to support strategic planning.
• Schedule and manage sales training programs to enhance team skills and effectiveness.
• Assess and improve sales technology stack to support sales automation and efficiency.
• Provide regular reports and updates to leadership on sales operations performance.

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

What’s it all about?

The compliance-risk control framework includes financial crime compliance and regulatory compliance. Financial crime focus is on Anti-Money Laundering (AML), Counter Terrorist Financing (CTF), Sanctions & Anti-Bribery and Corruption (ABC), and on the associated Know Your Customer (KYC) and Know Your Customer’s Business (KYC/B) & Counterparty Due Diligence (CDD) obligations, including primarily but not limited to: -

•           On-boarding counterparty due diligence

•           Transactional monitoring

•           Sanctions screening

•           Suspicious activity identification, monitoring and reporting

What we expect of you, day to day.

• Develop an understanding of Visa Payments business operations and payment processes

• Identify and internally escalate actual or suspected sanctions matches, assisting and supporting other analysts within the team

• Ensure sanction queries are sent in a timely manner in line with our internal SLAs and deadlines set

• Identify trends and use data to suggest improvements to effectively resolve service issues, escalating appropriately.

• Assist with the development of management information in alignment with regulatory and internal policy/risk expectations

• Assist with the review of new controls to mitigate risks and reduce false positives to improve efficiency across the team.

And assist:

• Ensuring clients are within legal parameters and not undertaking ML or criminal activities. For example, using screening and monitoring systems to assess client legitimacy.

• Identifying, managing & escalating suspected and actual money laundering, sanctions breaches and fraud cases through the relevant escalation path.

• Ensuring the compliance risk control framework remains aligned with external legislation.

• Conducting and/or overseeing compliance monitoring reviews and audits.

• Promoting and providing advice on best compliance practice within critical business areas.

• Exemplifying the company values and promoting them in all areas of the role, within and without the function.

This is a hybrid position. Hybrid employees can alternate time between both remote and office. Employees in hybrid roles are expected to work from the office 2-3 set days a week (determined by leadership/site), with a general guidepost of being in the office 50% or more of the time based on business needs.

The Report Specialist will be responsible for helping us live up to our promise of fast report turnaround while making sure that report quality is not compromised by the fast delivery. This position will report directly to the Report Supervisor.

Key Responsibilities include:

• Review inspection reports that come in from the field to make sure they are prepared accurately and according to format
• Validate incoming inspection reports if they meet all the appropriate requirements
• Inform inspectors promptly in case of problems, and follow-up to make sure any discrepancies are corrected

The Report Specialist will be responsible for helping us live up to our promise of fast report turnaround while making sure that report quality is not compromised by the fast delivery. This position will report directly to the Report Supervisor.

Key Responsibilities include:

• Review inspection reports that come in from the field to make sure they are prepared accurately and according to format
• Validate incoming inspection reports if they meet all the appropriate requirements
• Inform inspectors promptly in case of problems, and follow-up to make sure any discrepancies are corrected

The Report Specialist will be responsible for helping us live up to our promise of fast report turnaround while making sure that report quality is not compromised by the fast delivery. This position will report directly to the Report Supervisor.

Key Responsibilities include:

• Review inspection reports that come in from the field to make sure they are prepared accurately and according to format
• Validate incoming inspection reports if they meet all the appropriate requirements
• Inform inspectors promptly in case of problems, and follow-up to make sure any discrepancies are corrected

#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.

ABOUT US

BSA Solutions provides talent outsourcing services to small and medium-sized businesses. We offer global businesses access to highly skilled professionals from the Philippines and Malaysia, enabling businesses to build their offshore dream teams. Our vision is to be where the best minds meet to build a community of successful companies. We help talents chart their professional careers and allow our clients to focus on strategic and high-level tasks while we care for their talent management needs. We pride ourselves on delivering exceptional results through our personalised services and our in-depth knowledge of the markets we serve.  

HEADLINE

Are you a tech-savvy, results-driven individual who loves all things digital? Are you passionate about customer relationship management (CRM) and have a deep understanding of HubSpot? If so, we have an exciting opportunity for you! 

We're seeking a talented SENIOR CRM HUBSPOT SPECIALIST to be assigned to our Australian client, a leading provider of an all-encompassing digital solution that caters to a wide range of industries on both a national and international level.  

This is a full-time, permanent position, Monday to Friday, DAYSHIFT. 

Office-based position in these locations - Cebu City, Pampanga, and Dumaguete. 

To start in March 2024. 

• Grab the opportunity you need to do your best, working in a dynamic environment. 
• Grow and develop your career with us through our technical and professional development programs. 
• Join us and connect and collaborate with the best minds, building a community of successful companies. 
• Above market rate salary package up to PHP80K + generous benefits + personalised learning and development. 
• Relocation assistance is available for those relocating to Cebu.

ABOUT THE ROLE

As the Senior HubSpot CRM Specialist, you play a pivotal role in driving the success of the company's CRM strategy. Your expertise in implementing and optimizing HubSpot CRM is instrumental in providing a seamless experience for our customers. You will be the go-to person for all CRM-related concerns, responsible for developing innovative marketing automation solutions, managing databases, and analyzing data to provide actionable insights. Your contributions will have a significant impact on the company's growth and success, making you an invaluable member of the team. 

RESPONSIBILITIES

• Act as the main point of contact for all CRM (HubSpot) concerns, providing expert guidance and support to internal teams.  
• Develop and execute marketing automation solutions, including email marketing campaigns and sales funnels, tailored to different industries and their specific needs. 
• Play a critical role in all aspects of marketing campaigns, from implementation and execution to monitoring and optimisation, ensuring a seamless transition to our new digital solution. 

• Collaborate with cross-functional teams to develop marketing technology, automation, and analytics strategies, frameworks, and roadmaps that can be applied across various industries. 
• Manage the CRM database, ensuring data integrity and accuracy and leveraging it to drive targeted marketing initiatives for our expanding customer base. 
• Set up custom properties and build workflows for automated systems (e.g., autoresponders, sales pipelines, chatbots, forms, etc.) within HubSpot to align with the unique requirements of different industries. 
• Create reporting dashboards and provide actionable insights and recommendations based on data analysis, helping make data-driven decisions and achieve business goals. 
• Conduct efficiency audits and collaborate with the team to review, recommend, and implement best-practice CRM processes and procedures within HubSpot that cater to the diverse needs of our national and international clientele. 
• Stay updated with industry trends and emerging technologies to continuously innovate and enhance our digital solutions for different industries. 

• Bachelor's degree in Marketing, Business, or a related field. 
• At least 3+ years' experience as a HubSpot specialist. 
• Proficient in data analysis and reporting, with the ability to turn data into actionable insights that drive business growth. 
• Excellent project management skills, with the ability to handle multiple campaigns and priorities simultaneously in a rapidly evolving environment. 
• Exceptional communication and collaboration skills, with the ability to work effectively with cross-functional teams. 
• A passion for innovation, staying ahead of industry trends, and continuously improving CRM strategies to meet the evolving needs of our expanding customer base. 
• Strong problem-solving skills and the ability to think analytically and strategically. 

BSA Solutions, Inc. offers: 

• Comprehensive financial rewards and benefits that exceed market standards and the requirements of the Philippines Labor Law. 
• Comprehensive and generous HMO benefits package for you and one dependent from the start date. 
• Personalised professional development coaching and mentoring to help you map out your personal and professional development plan. 
• Broad selection of exciting and engaging social events to embrace as a vibrant BSA community. 

• Psychologically safe environment for you to develop your skills and talent consistent with BSA values and 
• Frequent webcasts and discussion forums by senior leaders to obtain feedback and ideas, and genuinely interested in hearing what you have to say. 

We are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to gender, gender identity/orientation, race, color, religion, origin, or any other characteristics protected by applicable law. 

We are looking for candidates with experience in leasing tools such as ShowMojo, Tenant Turner, Rently, etc. If you also have experience with property management softwares such as AppFolio, Propertyware, Buildium, etc, then please apply.

This is a completely REMOTE job. Never commute nor get snarled in rush hour traffic again.

ShowMojo streamlines the residential rental process, and vastly improves the leasing experience for property managers and renters alike. Our company is growing rapidly, with customers in all 50 states. To learn more about us visit: hello.showmojo.com

Values

ShowMojo strives to connect individuals that closely align with our values:

• Do you have the confidence to exchange opinions in an open environment with respectful candor?
• Are you self-directed and able to proactively solve problems?
• Do you pride yourself on showing up prepared and feel personal responsibility to see your accountabilities through to completion?

If this resonates with your personal values, we would like to have a career discussion with you.

Overview

We are looking for smart, articulate, tech-savvy professionals who enjoy solving customer problems. Property management or real estate experience is required for this position. We will help you get up to speed on the domain.

You'll be expected to leverage your analytical skills and understanding of technology as you assist new and current customers. You'll help new customers integrate ShowMojo into their business, configuring the system to their needs. And you'll help current customers make the most of ShowMojo as their business evolves.

You will be expected to dig through sometimes complicated details and actively help resolve customer problems. You will need to grow into a domain expert in our cutting-edge leasing platform. We will help you get there.

You must:

• Be extremely capable and comfortable with the use of new technology, online communication platforms, and learning new systems. For example, experience with online tools such as Slack, Wikis, spreadsheets, Join.me, Zoom, WebEx, FreshDesk, Zendesk, Salesforce, Quickbooks Online and the like (these are only examples, not systems you will use).
• Be ready to read through multiple pages of documentation -- and apply deductive reasoning -- to find the right answer to a customer issue.
• Be able to provide expert-level support to customers around ShowMojo's continually expanding product and service offerings.
• Be able to explain complicated concepts (related to leasing automation and emerging leasing best practices) in simple, user-friendly terms.
• Display a high level of professionalism and compassion when working with each account on sensitive matters.
• Assist with the creation and updates to team processes and knowledge bases.
• Serve as the primary ShowMojo contact for high-value customer groups.
• Own ongoing analytical assignments, or one-off-projects, aimed at improving the performance of the operations team or ShowMojo system.
• Act as a senior member of the operations team, mentoring junior members.
• Have a quiet office (home or elsewhere) with a strong internet connection and a newer computer.
• Experience with using ShowMojo platform is a big plus.
• Experience with using other leasing platforms such as Tenant Turner, Rently, Appfolio, Buildium, Rent Manager is also a plus.

Rate starts at $10 per hour.

A SNAPSHOT OF YOUR ROLE

We are looking for an OS&D Coordinator to enhance the delivery experience and to provide delivery execution solutions to our accounts

• Taking inbound and outbound calls for customers to handle service issues regarding their mobility device and or account
• Understanding customer business challenges.
• Developing the solution and designing the architecture to solve the customer need.
• Establishing business cases and helping customers choose our solution.
• Provide excellent customer service
• Take ownership until issue is resolved
• Coordinating with order writers, engineer and customer to provision orders timely.
• Handle all calls with courtesy and professionalism
• Research required information using available resources
• Manage and resolve customer complaints 
• Achieve Sales Target

A BIT ABOUT YOU

• Must have good communication skills - Preferred Berlitz score of C1, min accepted a B2.
• Typing of 25 words a min.
• Minimum 6 months exp in a BPO, preferred 1 year in an Inbound/Outbound Voice Process (pref with Sales/Unsell/Retention/CX) experience.
• Customer Service background
• Proficient in English
• Excellent verbal and written communication skills
• Active listening skills
• Organizational skills
• Sound judgement
• Flexibility and adaptability
• Resilience and the ability to work under pressure
• Interest to interact with people 

WHAT SUCCESS LOOKS LIKE

• High customer satisfaction.
• Excellent feedback from customers.
• Achievement of KPIs.

WHAT WE VALUE

We are 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!

What Will You Do:

• Sales Forecasting and Business Reviews:

  • Support the preparation of weekly business reviews, including data aggregation, validation, and basic data analysis, as well as facilitating inputs for sales.

  • Help run tools and procedures that enhance sales forecasting accuracy.

• GTM Dashboards and Reporting:

  • Assist in the management of Salesforce reports and basic dashboards for Sales management and frontline sellers.

  • Aid in streamlining and optimizing reporting processes.

  • Collaborate with data engineers and analysts on analytical projects, with special attention being paid to QA

• GTM Operations Support:

  • Assist with the analysis on escalated issues related to targets, territories, and report bugs.

  • Utilize CRM to identify, manage, and resolve issues effectively.

  • Help provide operational support to the wider GTM Operations team and assist in maintaining the integrity of our CRM system.

Must Haves:

• Strong CRM experience, with an understanding of managing and navigating accounts and opportunities.

• Strong attention to detail, with the ability to stay focussed and to ensure high levels of accuracy when following and developing procedures

• Strong skills in creating and maintaining spreadsheet reports, with familiarity of functions like sumifs, vlookups.

• Basic SQL skills, including an understanding of how to run and update queries.

• Demonstrated ability to work on tight deadlines and thrive in an ambiguous environment.

• Previous experience working in an operational role, managing diverse tasks across various functions

• Solid problem-solving skills with the flexibility to work on a variety of projects and adapt as necessary.

Nice to Have:

• Salesforce experience (CRM and basic reporting)

• Experience with Anaplan.

• Intermediate SQL skills

• Experience with, or exposure to Tableau.

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

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

We are currently seeking a highly motivated and results-oriented Recruitment Specialist to join our team.

As a Recruitment Specialist, you will play a crucial role in identifying and attracting top accounting talent to meet our clients' hiring needs. You will be responsible for sourcing candidates, screening resumes, conducting interviews, and presenting qualified candidates to clients. Additionally, you will contribute to the development and implementation of recruitment strategies, ensuring that our clients have access to the most qualified accounting professionals in the industry.

The ideal candidate will have a strong understanding of the accounting industry and possess excellent communication and interpersonal skills. You will work closely with clients, understanding their unique hiring needs and providing them with tailored recruitment solutions. This is an exciting opportunity for someone who is passionate about recruitment and wants to make a significant impact in the accounting industry.

Responsibilities

• Source, screen, and interview potential candidates for accounting positions
• Proactively build a pipeline of qualified accounting professionals
• Conduct reference checks and background screenings
• Collaborate with clients to understand their hiring needs and develop recruitment strategies
• Utilize various recruitment channels such as job boards, social media, and professional networks to attract top talent
• Develop and maintain strong relationships with accounting professionals to ensure a continuous pool of qualified candidates
• Stay updated on industry trends and market conditions to effectively advise clients on recruitment strategies

• Bachelor's degree in Human Resources, Business Administration, or a related field
• Proven experience as a Recruitment Specialist or similar role
• Strong understanding of the accounting industry and its unique hiring needs
• Excellent communication and interpersonal skills
• Demonstrated ability to build and maintain relationships with clients and candidates
• Proficiency in using recruitment software and applicant tracking systems
• Strong organizational and time management skills
• Ability to work under pressure and meet deadlines

• Training & Development
• Private Health Insurance

WHAT IS YOUR ROLE:

This position has primary responsibilities for providing hands-on technical troubleshooting, feature explanation, and best practice guidance for our product. The technical Support associate work environment is focused on providing support to customers, partners and colleagues both in a fast-paced environment.

A successful Technical Support associate operates efficiently in this climate, maintains composure, exhibits professionalism, understands our services, Team needs and delivers the highest level of client satisfaction.

WHY DO WE WANT YOU:

We are currently looking for impact-driven individuals who are passionate about helping Boldr grow and achieve our Purpose. We expect our Team to become our ultimate partners to success by always giving their 110% in everything, sharing their talents and quirks, and championing our core values: Curious, Dynamic, and Authentic.

WHAT WILL YOU DO:

• Educating customers and users on how to use the partner’s products and services.
• Escalating bugs or issues with our web and mobile apps to the partner’s development team and following up with the users once the issue is resolved.
• Identify trending issues and report them to the team.
• Ability to handle email and chat support simultaneously.
• Follow up with users who provided an unsatisfactory customer service rating.

• 2+ years of technical support experience: Preferably supporting customers via email and chat.
• Experience in providing technical support: installing and uninstalling apps from phones and computers.
• General knowledge of how web-based and mobile apps work.
• Passion for creating exceptional customer experiences and an ability to use challenging situations as an opportunity to exceed customer expectations.
•  Ability to thrive in a dynamic and evolving environment – must be adaptable.
• Metrics-driven and proven ability to handle a high volume of customer interactions. 
• Strong conflict resolution skills and even temperament in challenging situations.
• Native or near-native written and spoken English.
• Ability to properly understand and convey tone via written communications.
•  Creative problem-solving skills.
• Impeccable judgment – the ability to make fact-based decisions that support desired outcomes, particularly in ambiguous situations.
• Loads of empathy – you genuinely care!
• Proactive attitude and ability to work with limited supervision.

Plus Requirements

• Support the team by executing initiatives and collaborating on projects.
• Take initiative and identify areas of opportunity that you can contribute to help the team as it grows.
• Acquire valuable customer insights and share them with the rest of the team to improve the education and experience to create customers for life.
• Flexible work schedule.
• Passion for Customer Experience.
• A proven ability to work remotely as part of a team but also with little direction is highly desired.

• SSS
• Pag-ibig
• Philhealth
• HMO on day one
• 13th month pay
• Paid incentive leaves
• Personal time-offs (PTOs)
• Sick leave

#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

The Application Support Lead is accountable in ensuring that the support and maintenance support services are delivered in accordance to agreed SLAs  run like a factory. In order to create additional value for our customers and increase our internal profitability, the Application Support Lead will be responsible in improving and innovating the processes and implement/maintain new support technologies. Customer-centric, end-to-end oriented service mindset (from the end user until the supplier) and pro-activeness are the fundamental building blocks to achieve the goals.

About the job

Service Operations Specialist is responsible for supporting the market Service Fulfilment team by working with IT solutions on the market, developing tools, invoicing and creating various analyses to secure a high-performing organisation in the market service fulfilment network including:

• Daily operations for services connected to internal and external service partners
• Operational excellence
• Efficiency and continuous improvement
• Short and mid-term capacities
• Cost development and contribution to the cost goal
• Lead-time development
• Sustainability

Contribute to the operations and development of the Service Fulfilment organisation with a customer-centric and collaborative approach in focus. Focus on delivering results with the sense of urgency, achieving and exceeding operational goals and higher efficiency on daily tasks. Provide a subject matter expertise and advice to business leaders within Service Fulfilment processes that will contribute to the development of business and people. Implement, assess standards, guidelines and policies within the own area of expertise and contribute to their development and update.

Your assignment

• Responsible for creating performance reports from IT solutions to enable a high performing daily operation and an efficient distribution network connected to service fulfilment including capacity utilization, delivery performance and shipment life cycle with a focus on quality and a customer-centric collaborative mind-set to enable competitiveness of IKEA in a multichannel environment and support long-term growth and profitability.
• Responsible to secure excellence in operations and quality under the scope of Service Fulfilment on the market through securing proper system setup for services, monitoring and reporting and clear connected communication with service partners to exceed customer expectations, provide seamless shopping experience and a great quality in meeting with the customer.
• Contribute to short-, and mid-term development of existing service partners through trainings in relevant IT solutions and for providing first line IT support towards service partners in daily business to secure that the service partners have the knowledge to perform their tasks to represent IKEA well and provide and excellent quality in the meeting with the customer.
• Responsible to define and maintain short and mid-term service and capacity parameters based on available forecasts.
• Responsible for securing accurate reporting of service costs through efficient and accurate reconciliation of invoicing of contract costs and connected analysis.
• Contribute to securing efficiency and implementing improvements on the market by supporting the development of operational processes and developing tools and ways of working in line with daily operational requirements in cooperation with relevant stakeholders to reach excellence in execution and exceed customer expectations.
• Identify, assess and in cooperation with the Ikea for Business Country Manager, select potential partners as needed for expansion of IB’s service offer.
• Throughout the process of fulfilment, always keep the customers updated on the position of delivery and ensure the quality of all information being passed on.
• Oversee the interface between IB and SSS, to ensure clarity and alignment of all parts of the supply chain.
• In coordination and cooperation with sales management, ensure that after-sales services related to fulfilment are done with precision and to the highest possible standard.
• Support Service Fulfilment developers in tender activities.

#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

The Support Associate will have two priorities: Service Quality and Good Client Relation. This position will report directly to the Customer Success Supervisor.

Key Responsibilities include:

• Book orders of our clients
• Handle ticket dispatch
• Follow-up unpaid client invoices and
• Handle ad-hoc assignments as required and finish other tasks assigned by manager/supervisor on time and meet requirement

The Company Nurse will provide medical and professional assistance to employees as the top priority. Assists in general office management, office supplies, and the daily running of the office as well as HR-related tasks.

The Protocol Specialist ensures that our front-line services run without disruptions. This position will report directly to the Protocol Leader.

Key Responsibilities include:

• Compiles product checklists based on our client’s specifications and our inspection requirements, while making sure that all specs are in their corresponding sections.
• Ensures that when protocols are finished they’re delivered to our inspectors the day before they visit the factory with an inspection.

The SIP Specialist supports our daily Operations work by creating inspection protocols and ensuring they are always delivered to our front-line inspection teams on time. This position will report directly to the Protocol Leader.

Key Responsibilities include:

• Reviews/creates Special IP and ensures that it minimizes the SIP creation by providing feedback, giving suggestions to use the efficient method, and verifying if it meets the client's requirements.
• Collaborates with the other departments to improve the communication between the Project team by giving suggestions to meet the service level expected by the requestor.
• Meets the deadlines of the different requests they receive from internal/external QIMA team members.