Quality Auditors

4 weeks ago


Metro Manila, Philippines AGS health Full time

Qualifications

Minimum of 2 years as QA for a bpo healthcare or patient line Willing to report onsite (Cyber Sigma, McKinley West, Lawton Avenue)

Primary Job Responsibilities

Researches, resolves, and documents patient (and other clientele) inbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately.Answering Billing Concerns of the patients. This includes calls with insurance rep, attorney representatives and other patient's representatives and advocates. Investigates payment status and determines ultimate patient financial responsibility. Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. Processing payment from the patients over the phone. Obtaining correct/updated insurance information to the patient. Includes adding the said insurance details to the PMS or escalating it over to AR Team to have it taken care of.Soft follow up on out-of-pocket cost to the patient & processing payments over the phone

Patient Collections
• Reconcile patient balance (insurance vs patient)
• Work with Accounts Receivable team for claim resubmission
• Setting up and managing payment plans
• Handling credit card disputes

Why Join Us

Above market compensation packageFixed Weekends OffEmployee referral incentiveDay 1 HMO plus dependent

About Us

We are an analytics-driven, technology-enabled revenue cycle management company that alleviates financial and administrative burdens on healthcare providers by providing billing, coding, automation and analytics services.
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