Manages incoming or outgoing telephone calls, emails, and / or faxes, including triage, opening of cases and data entry into client system.
Determines contract and verifies eligibility and benefits.
Adhere to federal and state regulatory and / or client plan requirements and established workflows
Employees are required to maintain compliance with company safety, security and privacy programs (secrecy of all information and project-related information that may be acquired about the business, its affiliates and partners).
Responsible for being active participants of programs that protect the company’s business operations, facilities, and physical and intellectual property and ensure a safe and secure working environ for all employees.
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Graduate of Bachelor’s Degree in Nursing
Holds active and unrestricted local (PH) Registered Nurse license
Excellent written and verbal communication skills in English.
Experience in a front-office (voice) call center or BPO back-office environment is an advantage
Knowledge of ICD-9 and ICD-10 and CPT codes is an advantage
Equal Employment Opportunity Statement
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.