Coordinator, Individualized Care

## Coordinator, Individualized CareApplylocations: Philippines-Bonifacio Global City-Taguigtime type: Full timeposted on: Posted Todayjob requisition id: **Key Responsibilities*** Process enrollment requests and create complete, accurate case records to support timely downstream claim support activity.* First line team member to identifying Adverse Events* Complete Tier 1 claim reviews using program business rules, identifying missing information, obvious coding or submission issues, and the next best action for the provider.* Conduct benefit verification and basic payer outreach activities, as assigned, to confirm coverage requirements or obtain clarification needed to move cases forward.* Document all actions, outcomes, and communications clearly in the program CRM to ensure continuity and visibility across teams.* Identify cases that require higher level review and route or escalate to the appropriate US Case Manager, Supervisor, or program leadership per defined workflows....