Revenue Cycle Specialist

2 weeks ago

Davao City, Davao, Philippines Focusinc Group Corp Full time

Collections (Call Centre & Customer Service)

The Revenue Cycle Specialist will play a crucial role in ensuring the financial health of the client by effectively managing the revenue cycle, including insurance verification, authorization procurement, billing, collections, cash payment posting, and more. This role requires a detail-oriented individual with a strong understanding of healthcare billing and insurance processes. As our organization grows and opens new facilities, the workload is anticipated to increase over the next six months, making this role vital in maintaining smooth operations and financial stability. The ideal candidate will demonstrate the ability to handle responsibilities independently and contribute to the training of future hires as the workload expands.

Job Scope:

Verification of Benefits: Enter client information into the practice management system and initiate electronic verification of benefits.
Execute this time-sensitive task accurately and efficiently.
Conduct follow-up calls to insurance providers for more detailed verifications, utilizing a provided form to ensure accurate information retrieval.
Authorizations: Obtain initial authorizations through web portals or direct calls to insurance providers, adhering to established procedures to ensure timely authorization for treatments and services.
Billing: Review claims for accuracy and errors. Address any identified mistakes and move claims from the practice management system to the billing platform. Submit claims to commercial and private payers. Manage the posting of cash payments and process credit card information.
Customer Interaction: Answer private phone calls from clients and their family members, providing information and assistance with billing-related inquiries. Maintain a helpful and supportive approach, refraining from collection calls.
Collections and Follow-Up: Initiate follow-up calls to insurance companies for claims that have been denied or paid inadequately. Collaborate with payers to address discrepancies and ensure proper reimbursement.
Training and Collaboration: As the workload increases, actively participate in training new team members on accounts receivable processes, fostering consistency and adherence to best practices.
Collaborate with internal teams to resolve billing-related inquiries and concerns.

Job Qualifications:

Bachelor's or Associate's degree REQUIRED (finance, healthcare administration, or
related field PREFERRED).
1-2 years' experience in healthcare billing, accounts receivable, or related roles.
REQUIRED
Prior experience in a supervisory or training capacity. PREFERRED
Knowledge of insurance verification, authorization procurement, billing, and
Proficiency in using billing software and electronic health records (EHR) systems
PREFERRED
Excellent communication and interpersonal skills, with the ability to interact effectively with patients, insurance representatives, and internal teams.

Job type: Full time; Nigh shift and On-site in a BPO Setting

Your application will include the following questions:

What's your expected monthly basic salary?

Founded in 2011, FGC+ is an outsourcing company headquartered in New York, with operations in Davao and Bacolod. We enable our clients to scale their businesses by providing recruitment, training, and operational co-managed services.

Rooted in our brand essence, #IgnitingPossibility, our workplace culture thrives through Empathy, Growth, Possibility, and Reliability.

We get along and learn the value of teamwork through Empathy.

We encourage Growth and learn from challenges.

We allow ourselves the Possibility of becoming the best version of ourselves.

We strive to be Reliable towards our clients, co-workers, and leaders.

Benefits of working at FGC+:

Perfect attendance bonuses and other incentives

Leadership development and career progression

All that and more in a workplace that's engaging, inclusive, and productive.

A million possibilities are waiting to be ignited.

Vision

Our vision is that, in partnering with us, work becomes a catalyst for sustainable business success, personal growth, and a source of fulfillment.

Mission

Our mission is to develop high-functioning teams by providing an environment of constructive support and inspiration where people grow personally and professionally.

Our Values

· Empathy - Able to express positive feelings and affinity toward others. Understanding and appreciating the experiences of oneself and others. Ability to walk a mile in another person's shoes.

· Reliability - Able to give and keep own word for self and others. Dependable, able to act and interact consistently and effectively to produce and sustain results.

· Possibility - Ability to look at everything through the lens of possibility turning problems into opportunities. Open, receptive, resilient. Build strong relationships and create effective solutions so people flourish.

· Growth - Committed to working towards constant improvement, bringing deep fulfillment. Striving towards realizing people's potential by findings ways to improve personally, professionally, and as a team