Medical Claims Specialist | Onsite

2 weeks ago


Taguig, Philippines IQ BackOffice Full time

Medical Claims Specialist | Onsite (BGC, Taguig) Direct message the job poster from IQ BackOffice Overview The Medical Claims Specialist will be responsible for managing patient interactions regarding patient financial matters such as billing inquiries, explaining balances, assisting with payment options, collecting insurance details, verifying coverage, enrolling in Financial Assistance Programs, and updating patient preferences and following up on document requests with patients. Core Responsibilities Work inbound and outbound call queues/emails, effectively communicating with patients to notify of balances and the options/process of making payments. Enter notes into appropriate databases to record status of assigned patient activity, audit purposes, and inter-departmental communications. Read and interpret EOB Explanation of Benefits. Meet quality assurance standards to ensure a high-quality patient experience minimizing friction and poor sentiment and maximizing satisfaction. Retain and apply multiple aspects of client requirements policy and procedures. Communicate with team or lead any issues or concerns. Work assigned schedule and maintain flexibility regarding schedule changes to assist team in meeting SLAs and minimizing call and email wait/response time. Answer questions, escalate when necessary. Maintain professional control, etiquette, and patient advocacy in all communications – verbal, written, and video. Confident in ability to ask for payment of balances owed by patient. All other duties as assigned. Education / Experience Excellent written and verbal communication skills. Proficiency in EMR systems, Excel, and Outlook. Self-motivated and adaptable to coaching environment. Positive attitude and team oriented. Knowledge of Medical or Dental billing experience a plus. Seniority Level Associate Employment Type Full-time Job Function Accounting/Auditing Industries Outsourcing and Offshoring Consulting Location Taguig, National Capital Region, Philippines #J-18808-Ljbffr



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