Healthcare Billing Specialist

4 weeks ago

CemexCity of Naga Gawad Kalinga Village, Philippines Tahche Outsourcing Services Inc Full time
About the job Healthcare Billing Specialist

Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey. They offer a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers.

As a Healthcare Billing Specialist, you will be catering to all billing inquiries from patients and doctors, processing payments, and performing general tasks.

This is a full-time role, on a US shift and on a Work in the office set-up.

If you have the right skill set, this may be your opportunity to enter this fast-growing organization.

Duties and Responsibilities
  • Perform inbound and outbound calls to/from patients, insurance representatives, and onsite counterparts, as well as doctor\'s and law offices, when applicable.
  • Update the billing system with pertinent patient information coming from patients and other authorized entities.
  • Be able to work off existing billing software (GVT, TRIZETTO, and other tools required to complete the task at hand) and bill cases as well as follow-up accounts receivables, prepare patient invoices as needed.
  • Post payments made by patients or by their representatives through the company\'s online payment portal partner -- electronic and/or mailed payments.
  • Comply and execute ad hoc tasks assigned by the direct supervisor/manager and/or onshore billing manager.
  • Be able to correct erroneous billing information such as bill/remit codes, bill charges, and the like
  • Be able to meet minimum target metrics and provide excellent customer experience to all patients, doctors and its partner insurances.
Qualifications
  • With BPO experience of at least 1 year in a healthcare account
  • At Least 1 year of Healthcare BPO / Billing experience is required
  • Knowledge of ICD-10, CPT, and HCPCS billing in the US healthcare setting
  • Background in processing Claims/Claims Rejections and Appeals is a plus
  • Familiarity with GVT, TRIZETTO, and other Billing software is a plus
  • Familiarity with most healthcare insurance tools is a plus

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