Business Process Associate II

Job Description

Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments.

Responsibilities

• Information Review
• Processes client information by adheres to the standard operating procedures (SOP) and turnaround time set forth
• Reviews and identifies if there are adjustments and variances to reconcile
• Summarizes information to prepare necessary reports
• Liaises with other processors to reconcile any issues regarding client information
• Business Process Support
• Resolves issues and other inquiries regarding matters of work in a customer-oriented approach
• Ensures proper file management for all client systems by accurate and complete documentation
• Routes tasks to appropriate processors 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
• Performs variety of administrative duties and other related tasks from time to time as assigned to contribute to other business processes
• Non-clinical staff may not conduct any activities that require interpretation of clinical information, including but not limited to, the choosing of a set of criteria to use for handling a request for healthcare services or treatments.
  

• Bachelor's degree in any related course.
• At least two (2) years working experience in a claims or insurance management services.
• Proficient typing skills.
• Good communication skills.
• Proficient in word processing and spreadsheet softwares.
• Analytical skills - Identify and evaluate information.
• 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.