Call Center Representative

7 days ago

Eastern Manila District, Philippines Lennor Group Full time

Overview Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a reputable RCM Company in their search for a Call Center Representative (Healthcare) based in Ortigas. Start Date: September 29, 2025 Work Setup: Onsite Shift Schedule: Night Shift (9PM onwards) Location: Ortigas Role The Call Center Representative (Healthcare) is responsible for assisting patients with questions and concerns regarding their medical bills. This role focuses on handling inbound calls, explaining account balances, accepting payments, and ensuring accurate resolution of billing issues. The representative serves as the first point of contact for patients and providers, delivering clear information while protecting patient confidentiality in accordance with HIPAA standards. Responsibilities Handle inbound calls from patients regarding statements, balances, and billing concerns in a courteous and professional manner. Research account details, clarify discrepancies, and provide accurate information on outstanding charges or payments. Process patient credit card payments over the phone to settle self-pay balances. Apply basic knowledge of healthcare claims processing, including ICD-9/10, CPT, and HCPCS codes, as well as CMS-1500 and UB-04 forms. Utilize billing and practice management systems (e.g., GE Centricity, Epic PB) and other tools to review and update patient accounts. Identify, analyze, and resolve issues impacting patient statements or insurance payments. Maintain high standards of productivity, accuracy, and customer service as defined by departmental policies. Collaborate effectively with team members, leadership, and clients, maintaining a positive and professional work environment. Protect patient information by following HIPAA regulations and company data security policies. Support special projects and perform other related duties as assigned. What we're looking for High school diploma or equivalent (college coursework in business, healthcare administration, or related field preferred). At least 1 year of experience in medical billing, patient account services, or customer service in a healthcare setting (hospital, clinic, or physician practice). Familiarity with U.S. healthcare reimbursement processes, explanation of benefits (EOB), and revenue cycle concepts. Knowledge of billing codes (ICD-9/10, CPT, HCPCS) and medical claim forms (CMS-1500, UB-04). Proficiency in MS Office applications; experience with GE Centricity or Epic PB is an advantage. Strong verbal communication skills with the ability to explain billing information in a clear, empathetic manner. Excellent organizational skills, accuracy, and attention to detail. Ability to work independently and as part of a team in a fast-paced environment. Must remain calm and professional when handling challenging calls. Why Join this Opportunity HMO on Day 1 Free Lunch Employee Engagement Activities Night Differential Ready to take the next step in your career? Submit your application now We kindly request your patience as we receive a significant number of applications. Rest assured that our team will update your application's status soon. In the meantime, we encourage you to follow our LinkedIn page to stay informed about future opportunities and company updates. #J-18808-Ljbffr

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