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Company:

Accenture

Place:

Quezon City, National Capital Region

Job Function:

Other

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Details of the offer

Manages incoming or outgoing telephone calls, emails, and/or faxes, including triage, opening of cases and data entry into client system. Determines contract; verifies eligibility and benefits.Adhere to federal and state regulatory and/or client plan requirements and established workflows.Obtains information from claimant or other supporting systems, emails and/or from fax.Manages claims, collection of non-clinical information needed for review from claimants and providers, utilizing scripts to screen basic and complex requests.Graduate of Bachelor’s Degree in NursingHolds active and unrestricted local (PH) Registered Nurse licenseMust have at least 3 months experience as a Registered Nurse in a clinical settingExperience in a front-office (voice) call center or BPO back-office environment is an advantageKnowledge of ICD-9 and ICD-10 and CPT codes is an advantage

Source: Bossjob

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