Customer Service Representative

2 weeks ago

Pasig, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time

Benefits

  • 8-Hour Shifts, Fixed Weekends Off
  • Day 1 HMO with 2 of your dependents covered for FREE
  • Medical Cash Allowance
  • Rice Allowance
  • Clothing Allowance
  • Free Lunch Daily
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility
Job Purpose

The Call Center Representative serves callers by professionally answering inquiries, researching and resolving problems, and collecting self-pay balances.

Duties and Responsibilities
  • Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing information.
  • Process patient credit card payments over the phone to resolve outstanding self-pay balances.
  • Possess basic working knowledge of healthcare claims processing including: ICD-9/10, CPT, and HCPC codes, as well as 1500 forms.
  • Possess working knowledge of the fundamental concepts in healthcare reimbursement methodologies and revenue cycle.
  • Uses the GE and Epic workflow systems and other tools available to them.
  • Ability to analyze, identify and resolve issues on patient accounts.
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Adheres to the policies and procedures established for the client/team.
  • Meets and maintains daily productivity standards established in departmental policies.
  • Meets and maintains quality standards established in departmental policies.
  • Maintains confidentiality at all times; adhere to HIPAA and PHI Guidelines.
  • Ability to maintain composure when handling particularly difficult calls with customers.
  • Perform all other tasks related to Call Center Department areas of responsibilities.
  • Performs other related duties and special projects as required.
Qualifications
  • Previous experience in Hospital/Facility or Physician billing
  • Must have at least 1 year US Healthcare - Medical/ healthcare experience (handling 100% inbound calls for a US healthcare account)
  • Must be familiar with basic healthcare claims and denials; familiar with EOB
  • Experience with GE Centricity or EPIC PB preferred
  • Ability to work well individually and in a team environment
  • Proficiency with MS Office
  • Strong verbal communication skills
  • Strong organizational skills
  • English-speaking proficiency is required; bilingual skills a plus
  • Ability to maintain composure when handling particularly difficult calls with customers
  • Must be amenable to work during US hours
  • Must be amenable to work onsite in Ortigas, Pasig City
Working Conditions
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.
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