Collections Representative

2 weeks ago


Taguig, National Capital Region, Philippines Prime Manpower (A ManpowerGroup Licensee) Full time

Roles and Responsibilities

  • Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.
  • Submits adjustments or write-off requests for approval to resolve outstanding account balances.
  • Submits medical record packets for submission to the payer for claims reprocessing, reconsideration or appeal requests.
  • Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.
  • Resolves claim rejections accordingly in order to release a clean claim to the payer.
  • Responds to e-mail inquiries from different departments regarding pending insurance balances or claim denials.
  • Maintains accurate and detailed notes/documentation in applicable systems.
  • Keeps Supervisor and/or Manager informed of system issues.
  • Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
  • Other duties as assigned.

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