Collections Representative

1 month ago

Taguig, Philippines Conifer Health Solutions Full time

Job Description:

  • Conducts appropriate account activity on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continues collection activity until account is resolved, sent to Legal, or
  • disputed. Responsible for maintaining inventory on desks with no backlog. Ensure daily productivity standards of assigned accounts are met.
  • Requests additional information from Patients, Medical Records, and others upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
  • Updates Plan IDs and Patient/Payor demographic information; posts notes and memos to accounts; identify payor issues and trends; and solve recoup issues. Returns accounts to Appeal Writers for next level appeals as needed.
  • Identifies payor trends in payment delays and escalates issues to Supervisor
  • Conducts collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Provides ongoing appropriate collection activity on appeals until the payer has responded to the appeal.

Qualifications:

  • 1-3 years US healthcare background
  • Experience in handling medical claims and/or hospital collections
  • Good communication skills
  • Minimum typing requirement of 45 wps

Working Conditions:

  • Amenable to work in BGC, Taguig
  • Willing to work in a night shift schedule

Company Benefits:

  • Competitive Salary
  • HMO on day 1 plus 1 dependent; Additional 2 HMO dependents upon regularization
  • Group life insurance
  • PTO Credits
  • Annual Appraisal
  • Annual Performance Bonus

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