Clinical Healthcare BPO Consultant
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Job Location:
Taguig - Philippines
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
- Provide consultancy services to the insurance and healthcare vertical to set up the clinical/bill review/insurance practice.
- Establish and maintain communication with clients and/or team members; understand their needs resolve issues and meet their expectations.
- Participate in RFPs client proposals client meetings & sales calls as directed by the supervisor.
- Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations that would impact business outcomes.
- Identify the training needs that will equip the staff with fundamental skills and knowledge for the clinical/bill review/insurance programs.
- Have a thorough understanding of the various system tools and operational procedures utilized within the program and provide guidance/recommendations to the operations team on improving service delivery/outcomes.
- Collaborate with stakeholders on a regular basis for creating strategies.
- Conduct all defined and required process compliance and adherence to all team members partners and third-party providers for clinical insurance program and provide recommendations to improve the framework/rectify the identified gaps.
Qualifications :
- Earned a bachelors degree in any related field.
- Registered Nurse (PH & US Licensed).
- At least 15 years of work experience in the same industry with 2-3yrs of Director experience.
- Proven experience in the healthcare/casualty/workers compensation domain managing processes such as Intake Clinical Utilization Review Nurse Reviews Medical Provider Call Center.
- Excellent working knowledge on Microsoft Office applications.
- Ability to efficiently manage time and keep track of multiple schedules meetings and initiatives.
- Strong analytical skills.
- Demonstrated leadership skills.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Remote Work :
No
Employment Type :
Part-time
Key Skills
- Civil
- Apparel
- Banking
- CMS
- Infection Control
About Company
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more
