Insurance Claims Representative

5 days ago

Taguig, National Capital Region, Philippines beBeeCollections Full time
Job Description:

The position of a Collections Specialist is within our revenue cycle department. In this role, you will handle and resolve all insurance follow-up and denial issues to ensure that the company receives correct reimbursements from insurance companies.

  • Research and resolve payment discrepancies
  • Review and manage the AR aging report and provide explanations of past due balances to management
  • Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial
  • Identify issues or trends with accounts and provide suggestions for resolutions
  • Escalate exhausted appeals efforts for resolution with payer
  • Perform assigned revenue cycle duties as directed by the supervisor
  • Able to submit a root cause analysis report
  • Prepare write-off requests as needed for any uncollectable balances
  • Keep supervisor informed of areas of concern and problems identified
  • Provide training to new and existing staff members as instructed by supervisor
Responsibilities:

The following are some key responsibilities of the Collections Specialist:

  • Ensure that claims are processed and followed up to meet company goals of account receivable days, aging account percentages, and cash goals
  • Research and answer all questions and complaints regarding patient responsibility balances and billing inquiries sent through the customer call center
  • Utilize strong communication and customer service skills when interacting with internal and external customers
  • Maintain confidentiality and adhere to company policies and procedures
Required Skills and Qualifications:

The ideal candidate for this position should have:

  • Excellent verbal and written communication skills
  • Ability to work under pressure and meet deadlines while maintaining a positive attitude and providing excellent customer service
  • Strong analytical and problem-solving skills
  • Ability to work independently and carry out assignments to completion within parameters of instructions given
Benefits:

This position offers a competitive salary and benefits package, including:

  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment
  • Recognition and rewards for outstanding performance

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