Refund Specialist Insurance
1 month ago
Duties & Responsibilities
· Review refund and overpayment requests from insurance payers to determine if overpayment has occurred
· Review and resolve credit balances through credit transfers, account corrections and refund request form completion for manual refund check requests
· Identify root causes and trends contributing to patient and insurance credit balances
· Proactively work with other revenue cycle departments to improve efficiency and reduce and/or eliminate refund issues
· Posts debits for approved refunds
· Research returned checks and collaborates with A/P for reporting to unclaimed property
· Resolves Department credit balance inquiries for transfers and refund check requests
· Ability to work collaboratively and build positive business relationships with clinical areas and the payer community
· Develop and maintain expertise with payer specialty-specific payment policies
· Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
· Preform special projects as required
-
Refund Specialist Insurance
1 month ago
Pasig, Philippines Visaya KPO Full timeThe Refund Specialist-Insurance is responsible for reviewing accounts, identifying insurance overpayments and credit balances, as well as evaluating and verifying refunds are issued in accordance with current policies and procedures. Duties & Responsibilities · Review refund and overpayment requests from insurance payers to determine if overpayment has...
-
Refund Specialist Insurance
1 month ago
Pasig City, Philippines Visaya KPO Full timeThe Refund Specialist-Insurance is responsible for reviewing accounts, identifying insurance overpayments and credit balances, as well as evaluating and verifying refunds are issued in accordance with current policies and procedures.Duties & Responsibilities· Review refund and overpayment requests from insurance payers to determine if overpayment has...
-
Refund Specialist-Insurance
1 week ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full timeThe Refund Specialist-Insurance is responsible for reviewing accounts, identifying insurance overpayments and credit balances, as well as evaluating and verifying refunds are issued in accordance with current policies and procedures. Duties & Responsibilities Review refund and over payment requests from insurance payers to determine if over payment has...
-
Account Receivable
4 months ago
Pasig, Philippines RecruiterPH Full timeThis position is responsible for the supervisory oversight of the transaction processing team consisting of Refunds Specialists responsible for guest and travel agent refunds and commissions in POLAR and SIEBEL; and AR/Chargeback Clerks, responsible for raising A/R billings and clearing credit card chargebacks in Oracle and the various Merchant Credit Card...
-
Account Receivable
4 months ago
Pasig, Philippines RecruiterPH Full timeThis position is responsible for the supervisory oversight of the transaction processing team consisting of Refunds Specialists responsible for guest and travel agent refunds and commissions in POLAR and SIEBEL; and AR/Chargeback Clerks, responsible for raising A/R billings and clearing credit card chargebacks in Oracle and the various Merchant Credit Card...
-
Company Nurse Specialist
3 weeks ago
Pasig, National Capital Region, Philippines Insight Enterprises, Inc. Full timeSpecialist, Health Services Job Title: Specialist, Health Services Company: Insight Philippines The Specialist, Health Services will be responsible for leading Insight's Health Services Functions for Insight Philippines. This role will oversee the health and wellness of teammates, ensuring they are at their optimum health through the implementation of...
-
Company Nurse Specialist
2 weeks ago
Pasig, National Capital Region, Philippines Insight Enterprises, Inc. Full timeSpecialist, Health ServicesJob Title: Specialist, Health Services Company: Insight Philippines The Specialist, Health Services will be responsible for leading Insight's Health Services Functions for Insight Philippines. This role will oversee the health and wellness of teammates, ensuring they are at their optimum health through the implementation of...
-
AR Specialist
1 month ago
Pasig, Philippines Visaya KPO Full timeJob Description The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. Responsibilities: Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client...
-
AR Specialist
1 month ago
Pasig, Philippines Visaya KPO Full timeJob Description The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. Responsibilities: Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client...
-
Admin Medical Assistant
4 months ago
Pasig, Philippines Manpower Core Group Inc. Full timeJob Responsibilities• PARS for medications and procedures• Referral coordination to specialist• Record requests from hospitals or specialist• Give instructions to patients as instructed by Nurse Practitioner• Ensure all related reports, labs and information are filed and available in patients' medical records prior to their appointment• Take...
-
Billing Specialist
1 month ago
Pasig, Philippines Visaya KPO Full time· Utilizes various hospital/physician systems to verify patient, billing and claim information for accuracy. · Performs compliant primary/secondary, tertiary and re-bill billing functions, including electronic, paper and portal submission to government and/or commercial payers. · Edits claims to meet and satisfy billing compliance guidelines for...
-
Billing Specialist
1 month ago
Pasig, Philippines Visaya KPO Full time· Utilizes various hospital/physician systems to verify patient, billing and claim information for accuracy. · Performs compliant primary/secondary, tertiary and re-bill billing functions, including electronic, paper and portal submission to government and/or commercial payers. · Edits claims to meet and satisfy billing compliance guidelines for...
-
Specialist, Collection
1 month ago
Pasig, National Capital Region, Philippines S&P Global Full timeAbout the Role:Grade Level (for internal use):08The Role: Collection Specialist (US/EMEA)Location: Pasig, PHThe Team / The Business: The S&P Global Credit and Collections team is responsible for the collection of all accounts receivable. They are to carry out this responsibility following established business procedures and policies that are set up to...
-
AR Specialist
1 month ago
Pasig City, Philippines Visaya KPO Full timeJob Description The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. Responsibilities: Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility...
-
Admin Medical Assistant
4 months ago
Pasig City, Philippines Manpower Core Group Inc. Full timeJob Responsibilities • PARS for medications and procedures • Referral coordination to specialist • Record requests from hospitals or specialist • Give instructions to patients as instructed by Nurse Practitioner • Ensure all related reports, labs and information are filed and available in patients' medical records prior to their appointment •...
-
BPO Medical Assistant
4 months ago
Pasig, Philippines Manpower Core Group Inc. Full timeWith over 7,000 professionals across 9 delivery centers in the Philippines, we remains the country’s largest offshoring solutions provider. Medical Assistant, be 100% YOU! A Medical Assistant is expected to: Accompany/assist the medical provider(s) throughout their patient encounters. Record the history of the present illness, review of systems,...
-
AR Specialist healthcare Account
3 weeks ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full timeEssential Duties & Responsibilities: Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Update patient demographics/insurance information in appropriate systems Research/ Status unpaid or denied claims Monitor claims for missing information,...
-
AR Specialist healthcare Account
3 weeks ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full timeEssential Duties & Responsibilities: Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Update patient demographics/insurance information in appropriate systems Research/ Status unpaid or denied claims Monitor claims for missing information,...
-
AR Specialist healthcare Account
2 weeks ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Full timeEssential Duties & Responsibilities Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Update patient demographics/insurance information in appropriate systems Research/ Status unpaid or denied claims Monitor claims for missing information, authorization, and...
-
Healthcare Billing Specialist
4 months ago
Pasig, Philippines Visaya Knowledge Process Outsourcing Corp Full timeEssential Duties & Responsibilities: - Utilizes various hospital/physician systems to verify patient, billing and claim information for accuracy. - Performs compliant primary/secondary, tertiary and re-bill billing functions, including electronic, paper and portal submission to government and/or commercial payers. - Edits claims to meet and...