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

Are you a social media savvy who loves creating captivating content and connecting with online communities? Do you have a flair for storytelling and a keen eye for design? If so, you might be the perfect fit for our dynamic team!

We are looking for a creative and experienced Social Media Specialist to help us grow our brand presence and engagement across various social media and Career platforms. You will be responsible for developing and implementing effective social media strategies, crafting engaging and on-brand content, and monitoring and analyzing social media performance. You will also work closely with other teams to ensure our social media efforts are aligned with our overall business goals.

To succeed in this role, you should have a passion for social media trends, a strong portfolio of successful social media campaigns, and excellent communication skills. You should also have a solid knowledge of social media platforms, tools, and best practices, as well as a creative and problem-solving mindset.

- Plan and execute social media strategies that increase brand awareness, engagement, and conversion.

- Produce and publish captivating content for various social media platforms, such as Facebook, Instagram, Twitter, LinkedIn, TikTok, and others.

- Manage and maintain the company's social media profiles and presence, ensuring a consistent voice and tone across all channels.

- Monitor and respond to social media conversations, trends, news, and feedback relevant to the brand, and engage with the audience in a timely and professional manner.

- Measure and report on social media performance, using analytics tools and insights to optimize content and strategy.

- Collaborate with cross-functional teams, such as marketing, design, and customer service, to support and enhance social media initiatives and campaigns.

- Research and stay updated on the latest social media trends, tools, and best practices, and propose innovative ideas for growth and engagement.

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

MySigrid is seeking a skilled and professional Bilingual Admin Support Specialist fluent in both Spanish and English to support our executive team. The successful candidate will play a crucial role in facilitating effective communication between the executive team and Spanish-speaking clients, partners, and stakeholders.

WHO WE ARE

MySigrid is a Premium Executive and Personal Assistance Service staffed by humans powered by technology. We provide the right people, platform, and processes to optimize busy executives’ lives, allowing them to outsource the day-to-day activities that keep their personal and professional lives on time and on target. We aim to democratize access to executive support and to create jobs using technology instead of replacing them.

We use MySigrid, our proprietary Collaboration & Task Management Platform, to solve tasks efficiently and collectively - improving quality, reducing human error, and increasing speed. MySigrid is a ‘state-of-the-art’ technology platform designed to optimize the work processes of our Executive Assistants, allowing them to deliver world-class remote support to multiple clients, as well as giving them the flexibility to configure an optimal work/life balance.

Requirements

As a minimum, we expect candidates to meet the following requirements:

• Fluency in both Spanish and English, with excellent written and verbal communication skills in both languages. 
• Proven experience as an executive assistant or similar role, preferably in a bilingual environment. 
• Strong organizational skills with the ability to prioritize tasks and manage time efficiently. 
• Proficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and other relevant software. 
• Attention to detail and high level of accuracy in all tasks. 
• Ability to maintain confidentiality and handle sensitive information with professionalism. 
• Excellent interpersonal skills, with the ability to interact effectively with individuals at all levels. 
• Adaptability and flexibility to respond to changing priorities and deadlines. 
• Bachelor's degree or equivalent work experience preferred. 

At MySigrid, we aim to ensure the professional and personal growth of all our employees:

• Paid Time Off (PTO) credits.
• HMO Package for the employee and two dependents.
• Medical subsidy.
• Reimbursable internet charges.
• Comprehensive training and continuous learning advantages.
• Opportunity to contribute to new technology and help develop a high-end system that assists humans by optimizing their work processes.
• High importance to work-life balance with the opportunity to work from home part of the week.
• Opportunity to venture into other areas of the business as you continue to contribute to the growth of the company.
• Be part of a dynamic team of specialists who openly and willingly share their knowledge with their colleagues.
• Work in a corporate culture that encourages collaboration, with an emphasis on our core values: Integrity, Passion, Teamwork and Respect, Proactiveness, Accountability, and Determination.

Co-Working days

MySigrid has co-working offices in BGC, Ortigas, and Makati where the whole team meets twice a month at a minimum.

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.

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

#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

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 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.

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

About the job

To be part of the finance organisation in IKEA Philippines supporting Service Office by that support the growth of IKEA businesses by ensuring accurate and timely work practices on:

• Processing and payment of invoices from local and foreign vendors and reimbursements to co-workers.
• Tax recording and remittances on local and foreign payments.

Your assignment

• Verify invoices and billings to ensure correctness and completeness of supporting documents (e.g. billing/sales invoice, receipt, purchase order) prior to payment processing.
• Prepare and ensure timely payments to local and foreign vendors including co-worker's claims.
• Liaise with vendors on payment related enquires.
• Liaise with banks for any issues related to payment.
• Prepare and ensure accurate and timely preparation and payment of monthly/quarterly tax returns and reconcile with the book.
• Reconcile payments and perform monthly bank reconciliations.
• Generate vendor aging report and follow up long outstanding invoices.
• Reconciliation of monthly GL accounts and vendor balances.
• Assist Assistant Finance Manager/Finance Manager in the preparation of monthly reports and audit schedules.
• Support and provide training to Store Accounting Assistant in handling Store payables functions.
• Other ad hoc task as assigned and support general accounting/accounts payable functions.

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking Credentialing Specialists and Medical Billers to join our growing team. BizForce & 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! 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

• Process applications for healthcare provider enrollment and privileging with insurance companies and various other organizations
• Coordinate and facilitate the credentialing and re-credentialing processes
• Submit and monitor credentialing applications to ensure timely completion
• Review and verify provider credentials and documents for accuracy and completeness
• Communicate with providers, insurance carriers, and organizations to obtain missing or additional information as necessary
• Maintain accurate and up-to-date provider information and credentialing files
• 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
• 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

• Proven work experience as a Credentialing Specialist and/or Medical Biller
• Solid understanding of healthcare provider enrollment and privileging processes
• Experience with billing software and electronic medical records
• Knowledge of medical insurance policies and claim processes
• Must have the ability to multitask and manage time effectively
• Excellent written and verbal communication skills
• Outstanding problem-solving and organizational abilities

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

ABOUT US

BSA Solutions offers talent outsourcing services to small and medium-sized businesses. We provide access to highly skilled professionals, enabling global businesses to build their dream teams in the Philippines and Malaysia. Our vision is to create a community of successful companies where talented individuals can meet and collaborate. We encourage our talents to push their limits, embrace their potential, and passionately pursue greatness. We pride ourselves on delivering exceptional results to our clients through our personalized service and our in-depth knowledge of the markets we serve. 

HEADLINE

Are you talented and dynamic with passion for cutting-edge AI technology? Do you have experience in promoting software technology for the digital health environment? If so, we have an exciting opportunity for you to join our US client, driving the AI revolution with state-of-the-art AI models in medical imaging and diagnostics. 

We are seeking a MARKETING SPECIALIST to be part of the start-up team and be responsible for attracting potential clients and developing marketing campaigns and strategies. 

What’s in it for you: 

• The opportunity to help drive the AI revolution in medical imaging and diagnostics. 
• Work on cutting-edge technology and be part of a collaborative and forward-thinking team. 
• Competitive compensation, excellent benefits. 
• Personalised development program & seniority benefits. 
• Being part of an international team of smart and passionate colleagues. 

This is a FULL-TIME role, MONDAY TO FRIDAY. 

This is an office-based position in central Cebu City. 

The expected start date is March 2024. 

ABOUT THE ROLE

As a Marketing Specialist, you will play a crucial role in developing and executing marketing strategies to promote cutting-edge AI powered imaging solutions in the healthcare industry. You will collaborate closely with cross-functional teams, including product management, sales, and research and development, to drive brand awareness, generate leads, and support the overall growth of the business.

RESPONSIBILITIES

• Create and execute marketing campaigns across various channels, including social media, email, and web  
• Develop content for blog posts, white papers, brochures, case studies, and other marketing materials 

• Develop and execute our online presence, including social media accounts, website content, and online organic advertising 
• Collaborate with the sales team to develop and execute lead-generation campaigns 
• Organize conferences and events to attract potential clients and partners 
• Plan and execute company events, webinars, podcast and other marketing initiatives to generate leads and build brand awareness 
• Conduct market research to identify customer needs and preferences, and adjust marketing strategies as needed 
• Measure the effectiveness of marketing campaigns and report on key performance metrics 
• Manage event logistics, including venue selection, vendor management, budgeting and promotion 

QUALIFICATIONS AND REQUIREMENTS

• Bachelor's degree in marketing, business, or related field 
• 3 years of hands-on marketing experience in the healthcare or technology industries 
• Experience with digital marketing tools and platforms, such as Google Analytics, Facebook Ads, and email marketing software such as HubSpot. 
• Strong writing and communication skills, with experience developing content for various channels 
• Ability to work independently and as part of a team 
• Strong project management skills and attention to detail 
• Creative problem-solving skills and ability to think outside the box 
• Experience with social media platforms such as LinkedIn and Twitter 

IMPRESS US MORE

• Experience with healthcare marketing and understanding of healthcare industry regulations and compliance 
• Proven track record of developing successful marketing strategies and campaigns in the healthcare or technology industry 

• Familiarity with marketing automation tools and lead-generation tactics 
• Experience with creating and managing budgets for marketing campaigns 
• Strong project management skills and ability to work effectively with cross- functional teams 
• Ability to analyze data and identify trends to inform marketing strategies and optimize campaigns 
• Demonstrated creativity and innovation in developing marketing content and messaging 
• Experience with creating and delivering presentations to internal and external stakeholders 
• Familiarity with design software such as Figma is a plus 

WHY YOU SHOULD JOIN US

BSA Solutions, Inc. emphasizes in: 

• Providing you with competitive compensation and benefits that exceed market standards and the Labor Law. 
• Ensuring your health and well-being with a comprehensive and generous HMO benefits package for you and one dependent from the start date, a 24/7 employee assistance program, mental health assistance with licensed practitioners, and in-house fitness and wellness programs. 
• Encouraging you to take ownership of your choices and be accountable for your personal growth, happiness, and success. 
• Challenging your status quo, pushing your boundaries for you to embrace your potential and pursue greatness. 
• Building supportive and inclusive communities that inspire and uplift each other, fostering a sense of belonging and connection among its employees and the wider local communities. 
• Encouraging you to be authentic, be true to yourself, embrace your uniqueness, and live a fulfilling and purpose-driven life. 
• Promoting a growth mindset and a commitment to lifelong learning and encouraging you to seek knowledge, explore new experiences, and embrace challenges as opportunities for personal and professional development. 
• Encourages you to appreciate each moment and find balance in your lives, being fully present in the moment, cultivating mindfulness, and finding joy in the present. 
• Encouraging you to set clear intentions, align your actions with your values, and make conscious choices that contribute to your overall well-being and happiness. 

Join us and connect and collaborate with bright minds. Be part of a culture of equity, diversity, and inclusion, where you can showcase your unique talents and expertise to create successful outcomes for you, the client, and the company. All qualified applicants will receive consideration for employment without regard to gender, gender identity/orientation, race, colour, religion, origin, or other characteristics.  

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.