GBSC-Business Process Associate III

Summary:

Responsible for monitoring, facilitating, and reviewing processes and information to determine if standard procedures set forth were accurately used.

Job Scope:

For Medical Process:

Medical Information Review
Data entry of medical and bill information.
Checks data initially entered for accuracy and completeness.
Processes client information.
Analyzes medical information for appropriateness.
Summarizes information to prepare reports as necessary.
Conducts quality assurance on processes and documents.
Contacts with stakeholders, either through phone call or email to coordinate medical treatment schedule.
Approves payments of medical bills.
Assists and collaborates with onshore partners in resolving and put claims to closure

For Finance Process:

Finance Information Review
Act as the point of contact in the absence of a Team Lead or Supervisor
Handle complex scenarios that would require further analysis and decision making (I.e., Client account reconciliation, billing history, etc.)
Processes client information.
Ensure the accuracy of financial data that is provided both internally and externally.
Summarizes information to prepare reports as necessary and be able to explain these financial reports.
Conducts quality assurance on processes and documents.
Facilitates any additional training needed by the team.

Business Process Support

Analyzes and resolves any issues and inquiries regarding matters of work in a customer-oriented approach.
Routes tasks to appropriate processor by utilizing internal systems.
Refers matters beyond limits of authority and expertise to immediate superior for direction.
Upholds the Crawford Code of Conduct by protecting the confidentiality of information.
Adheres to the standard operating procedures (SOP) and turnaround time set by the company.
Performs variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes.

Functional Knowledge:

Bachelor's degree in any related field
At least two (2) years related work experience.

Must:

Proficient typing skills.
Good communication skills.
Proficient in word processing and spreadsheet softwares.
High analytical skills in reviewing medical or financial information

Desired:

Competence in case management outcomes.
Knowledge and understanding of QI and QA practices.
Ability to multi-task, prioritize and manage time effectively.
Keen attention to details in order to produce quality output.
Maintains high degree of professionalism and confidentiality.
Interpersonal skills - Able to work independently and as a team member.