Healthcare Service Representative

3 days ago

San Fernando, Central Luzon, Philippines beBeeCustomerExperience Full time ₱2,128,000 - ₱2,535,840
Job Title: Customer Experience Associate II

We are seeking a skilled and detail-oriented Customer Experience Associate II to join our team. In this role, you will be responsible for providing exceptional customer service, navigating complex issues, and delivering accurate solutions.

About the Job:
  • Provide prompt, courteous, and accurate customer service for all calls, with a solid understanding of workers' compensation guidelines.
  • Working knowledge of StrataWare/CompIQ, Call Track, and any client proprietary software.
  • Understanding of State rulings and regulations as relating to Workers' Compensation.
  • Understanding of medical bill processing rules and guidelines, including how to read Bill Review Logs.
  • Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, phone message retrieval, and e-mails within 24 hours, etc.
  • Processing medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned.
Required Skills and Qualifications:
  • Bachelor's degree in a healthcare or business-related field, or equivalent experience.
  • Minimum of one (1) year Customer Service experience (voice).
  • Ability to learn ICD-9/ICD-10 and CPT/HCOC coding.
  • Ability to use Microsoft Windows-based software.
  • Ability to learn and apply basic medical terminology.
  • Excellent oral and written English skills.
  • Ability to assess and document reconsideration issues based on caller's issue.
  • Ability to work in a team environment.

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