Philippines- AG USRN- Associate III BPM

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Overview USRN - A&G Taguig, National Capital Region, Philippines BE THE FIRST TO APPLY JOB DESCRIPTION In this role you should independently be able to effectively and efficiently process the transactions assigned in a timely manner, clarify complex transactions to others and ensure that quality of output and accuracy of information is maintained, in alignment with SLAs. Investigate and process complex grievances and appeals requests from members and providers Perform reviews of inpatient, outpatient, ambulatory and ancillary services for medical necessity Review, research, and prepare…