Customer Service Associate | Davao | Healthcare - Enjoy Great Benefits!!

Job DescriptionSutherland is seeking for a Credentialing Associate. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you!Associates in this role get to:Support the team: Assist with training and quality assurance of peer staff -Coach, Mentor, Grow.Improve the company: Resolve problems and administrative issues. Fix problems. Promote success.Keep things running: Keep accurate data for requested monthly URAC (Utilization Review Accreditation Committee) report; Create accurate daily inventory report for manager. Report what's important. Support ongoing growth.Take the lead: Lead staff in the absence of the manager. Lead on the fly, succeed naturally.Keep Sutherland aligned: Receive applications, assure completeness and verify credentials; Maintain accurate initial and re-credential files, monitoring at least 20 files per week; Create and maintain provider files within the database.Impact the bottom line: Call provider offices and U.S. licensing boards for missing information; confirm accuracy of data that has been presented.QualificationsOur most successful candidates will have:Full working knowledge of provider credentialing and current URAC standardsHigh School Diploma or equivalent (Bachelor's Degree preferred)Five or more years of experience in Healthcare OperationsThree or more years of experience Credentialing / Re-credentialing Providers (preferred)Two or more years of experience working in a Healthcare setting handling high level provider related issuesOne or more years of experience in calling provider officesProficient level skills with MS office suite (Word and Excel)Working knowledge of desk top PCs and Provider softwareBroad understanding of Health insurance programs and HIPAA regulationsExperience in managing provider databasesUnderstanding of all SLAs that are in the Clients agreement; day-to-day receipts and ageing reports from the inventories

As a process transformation company, Sutherland rethinks and rebuilds processes for the digital age by combining the speed and insight of design thinking with the scale and accuracy of data analytics. We have been helping customers, across industries from financial services to health care, achieve greater agility through transformed and automated customer experiences for over 30 years.Headquartered in Rochester, N.Y., Sutherland employs thousands of professionals spanning 19 countries around the world. To learn more, please visit us at www.sutherlandglobal.com.