6th Floor 2Quad Building Cardinal Rosales Avenue corner Cebu Business Park, Cebu City, Cebu
Total vacancies for this job title : 1
Posted on : October 21, 2019
Job ID : 339167
At Medcor, you are more than just an employee — you are an advocate. An advocate for clients, an advocate for patients, and an advocate for each other. We strive to provide the right service to the right people at the right time in a caring and professional manner. We are proud to be advocates for doing the right thing.
Medcor provides outsourced health services to improve outcomes, service levels, and access to care, while reducing costs. Medcor uses highly trained professional staff, proprietary protocols, and state-of-the-art systems to achieve sustained, positive results. Medcor serves customers in a range of industries throughout the United States.
What is the Need?
The Nurse Specialist (Short-Term Disability Specialist)reports to the disability case manager and is responsible for managing short term disability claims for contracted clients from intake through approval for payment, continued monitoring of open claims and clerical functions to support these services.
Main Duties and Responsibilities:
Access claims submissions via fax and email, review for required information in compliance with client policies, accurate data entry, and communicate to client representative for payment
Making decisions for approval or denial of claims using contractual, medical, and vocational analysis
Maintain productive relationships with internal advocates, client employees and benefits representatives, and medical professionals
Respond in timely manner to high volumes of written (fax and email) and verbal (primarily telephone) communication with a wide range clients’ employee, client representatives, medical professionals in multiple communities
Continual prioritization of conflicting demands with rapid response and efficient resolution.
Frequent communication with internal team members
Ensure a high level of client satisfaction, meeting weekly reporting requirements and quick turnaround times for claims processing
Assume the daily functions for the Disability Claims Manger when absent, whether planned or unexpected
Minimum Experience Requirements:
Minimum of one (1) year of total job experience specializing in Customer Service or equivalent in a BPO or call center working environment
Strong customer service experience with proven ability to build and manage relationships with external and internal clients
Broad familiarity with medical terminology and understanding of ICD-10 coding
Focused attention to detail, particularly with dates, numbers, spelling and grammar
Ability to work independently when necessary
How to Apply
Send your resume and application letter to the following address:
Medcor Inc. Philippine Branch Office
6th Floor Serviced Office, 2Quad Building
Cardinal Rosales Avenue corner Cebu Business Park,