Team Leader | Ar Claims

Team Leader AR Claims Healthcare BPO

Pasay, Camarines Sur ₱ - ₱ Y Access Healthcare

Posted today

Job Description

We are seeking a experienced AR Claims Representative to join our growing Healthcare BPO team. In this role, you will be responsible for managing the end-to-end medical billing cycle, ensuring timely collections, following up on unpaid claims, and maintaining healthy cash flow for healthcare providers in the US.

Responsibilities

• Perform follow-ups with insurance companies (payers) on outstanding claims (AR).
• Analyze and resolve denied or rejected claims using payer portals or calling payers directly.
• Work on aging reports to minimize AR days.
• Ensure timely and accurate documentation of all activities in the billing system.
• Coordinate with the billing and coding teams to resolve claim-related issues.
• Maintain compliance with HIPAA and internal data security standards.
• Meet daily, weekly, and monthly productivity and quality targets.

Qualifications

• Experience in Accounts Receivable, End to End Claims, Medical Claims Billing or Healthcare Collections
• Willingness to work night shifts
• Prior experience in a medical billing company and use of medical billing software is an advantage
• Knowledge of Healthcare terminology is a plus
• Amenable to work onsite at Imet BPO Tower, Pasay

Healthcare BPO for Registered Nurse

Pasay, Camarines Sur ₱40000 - ₱45000 Y Access Healthcare

Posted 1 day ago

Job Description

Access Healthcare is looking for REGISTERED NURSE to join our growing team. You\'ll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.

Responsibilities

• Perform advanced level work related to clinical denial and utilization management.
• Manage medical denials by reviewing clinical documentation.
• Handle audit/compliance responsibilities and other administrative duties as required.
• Write compelling arguments based on clinical documentation and payer policies, and submit appeals timely.
• Resolve charge problems to ensure accurate and complete billing; inform staff on proper billing, follow-up, and documentation practices.
• Review and rectify errors in third party payer reimbursement denials based on documentation, coding and medical necessity.
• Communicate denial/appeal activity to stakeholders and report trends to Revenue Cycle management.

Qualifications

• Registered Nurse with Active license
• Hospital bedside experience (OR/ER/ICU/PACU)
• Experience in BPO Healthcare account is an advantage
• Amenable to work onsite at Double Dragon, Pasay
• Can start ASAP

Job Types: Full-time

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Quality Analyst for Healthcare BPO

Pasay, Camarines Sur ₱ - ₱ Y Access Healthcare Services Manila, Inc.

Posted 1 day ago

Job Description

Access Healthcare is looking for dedicated and detail-oriented Quality Analysts to join our Healthcare team. The ideal candidate will have 1 to 3 years of experience auditing calls for healthcare accounts, ensuring adherence to quality standards, compliance requirements, and CSAT metrics.

Responsibilities

• Conduct regular audits of inbound and outbound calls for healthcare accounts to evaluate compliance, quality, and customer satisfaction.
• Identify areas of improvement and provide actionable feedback to agents and supervisors.
• Ensure all communication aligns with client-specific quality guidelines and regulatory compliance standards.
• Collaborate with training and operations teams to address gaps in processes and agent performance.
• Generate and present detailed quality reports to management, highlighting trends and recommendations.
• Monitor effectiveness of quality improvement initiatives and coaching sessions.
• Stay updated on healthcare regulations and industry best practices.

Qualifications

• 1 to 3 years in a Quality Analyst role within a BPO healthcare setting
• Strong knowledge of healthcare standards, compliance, and US laws
• Proficiency in call auditing techniques and quality tools
• Analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Detail-oriented with ability to identify trends from data
• Familiarity with CSAT metrics

Preferred: experience with quality management systems and HIPAA knowledge

Quality Analyst for Healthcare BPO

Pasay, Camarines Sur ₱ - ₱ Y Access Healthcare Services Manila, Inc.

Posted today

Job Description

We are looking for a Quality Analyst to support our AR team. You will help ensure high-quality customer service and accurate processing of account receivables for healthcare clients.

What you’ll be doing

• Monitor and evaluate quality of customer service interactions
• Conduct regular quality audits and provide feedback
• Analyze AR data to identify trends and issues
• Resolve complex inquiries and complaints related to billing
• Collaborate with finance to ensure timely processing of AR
• Provide regular reports and recommendations
• Participate in process improvement initiatives

What we’re looking for

• Minimum 2 years in QA or CS in healthcare
• Analytical and problem-solving skills
• Strong communication and interpersonal skills
• Experience in AR or billing operations
• Knowledge of healthcare regulations
• Proficient in data analysis tools
• Ability to work in fast-paced environment

Team Leader End to End Claims

Pasay, Camarines Sur ₱ - ₱ Y Access healthcare

Posted today

Job Description

As the Team Leader End to End Claims, you will lead and manage a team of CSRs handling medical claims processing, ensuring accurate and timely processing and adherence to SLAs.

What you’ll be doing

• Supervise and coach a team of CSRs
• Ensure accurate and timely processing of claims
• Implement QA processes and train team members
• Analyse performance metrics and drive improvements
• Collaborate with cross-functional teams to resolve complex claims
• Foster positive team culture

What we’re looking for

• 3+ years supervisory experience in customer service or claims
• Proven leadership and performance improvement track record
• Strong problem-solving and communication skills
• Understanding of medical claims, insurance policies, regulatory requirements
• MS Office and data analytics familiarity

What we offer

• Career development opportunities
• Health insurance and wellness programmes
• Flexible working arrangements
• Team-building activities

Healthcare - Team Leader | AR | Pasay

Pasay, Camarines Sur ₱ - ₱ Y Access Healthcare Services Manila, Inc.

Posted today

Job Description

Same as above: lead CSRs in AR, monitor KPIs, provide coaching, and drive process improvements.

What you’ll be doing

• Oversee CSRs and KPIs
• Coach and develop team
• Collaborate across AR to drive improvements

BPO Pioneer Healthcare Account

Posted today

Location: MOA, Pasay (Hybrid). Interview onsite or Zoom. Perks include competitive salary, health benefits, and opportunities. Must have 1 year BPO International Account experience and be comfortable onsite if needed.

Job Types: Full-time, Permanent

• Health insurance
• Life insurance
• Employee stock options

Application questions and details provided in listing.

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