Senior Process Associate in UST Global
Job Experience
Senior Process Associate
UST Global
August 2014 to Actually working here
- Investigates and facilitates the resolution of claims issues, including incorrectly paid claims, by working with multiple operational areas and health plans and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing.
- Identifies the interdependencies of the resolution of claims errors on other activities within operations.
- Coordinates the efforts of several internal departments to determine appropriate resolution of issues within strict timelines.
- Interacts with network providers and health plans regularly to manage client expectations, communicate risks and status updates, and ensure issues are fully resolved.
- Responsible for the end to end planning, development and maintenance of clinical content supporting the product business rules. The analyst will also design, develop, and update claims auditing content.
- Performs other job related duties as assigned.
Education
Medical Technology
University of Santo TomasCurrently studying
Languages
English
Advanced
IT skills
Word, Excel
Medium
Other Skills
More König
Career Goals
To obtain a position where my knowledge of medical coding can be applied
Industries of interest
Areas of interest
Availability to travel and work outside the city
Yes