BPO Insurance Claims Responder

3 days ago


Paranaque City, Calabarzon, Philippines Unity Communications Full time

We are seeking a detail-oriented and organized Claims Resolution Specialist to join our team at Unity Communications. As an Insurance Follow-up Representative, you will play a vital role in addressing account balances and correspondence from insurance carriers.

Key Responsibilities
  • Reconcile FACS balance to the client system to ensure accuracy
  • Verify proper crediting in FACS for payments posted
  • Utilize online resources to obtain payment or denial status from insurance carriers
  • Communicate with insurance carriers via phone to resolve outstanding issues
  • Input FACS outcomes and determine next steps based on departmental procedures
  • Review correspondence, note accounts, and follow up as needed
  • Maintain quality customer service and develop professional relationships with insurance company representatives
  • Ensure confidentiality by adhering to HIPAA regulations
Requirements
  • Computer proficiency and ability to learn multiple databases
  • Multitasking skills and organizational abilities
  • Accuracy in performing repeated tasks and attention to detail
  • Familiarity with company and client-specific procedures for insurance follow-ups
  • Working knowledge of HIPAA and Red Flag regulations
  • Minimum 6 months of experience in Healthcare BPO
Benefits
  • HMO coverage with two free dependents upon regularization
  • VL/SL credits upon regularization
  • Supportive work culture and opportunities for growth
  • 13th-month pay and other Philippine-government-mandated benefits
  • Non-taxable allowances and performance bonuses


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