Healthcare Customer Service Representative

11 hours ago

Ortigas, Philippines Comrise Full time ₱1,500,000 - ₱3,000,000 per year

Job Purpose

The representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.

Duties and Responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
  • Meets and maintains daily productivity/quality standards established in departmental policies.
  • Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts.
  • Ability to analyze, identify and trend claims issues to proactively reduce denials.
  • Communicates to management any issues and/or trends identified.
  • Ability to identify and correct medical billing errors.
  • Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process.
  • Assist with special A/R projects as needed. Analytical skills and the ability to communicate results are required.
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

  • Completed at least High School education
  • With minimum 1 year of US Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers)
  • Experienced on medical billing/ AR Collections.
  • Background in calling insurance (Payer) to verify claim status and payment dispute.
  • Must be amenable to work night shifts.
  • Must be amenable to work onsite in Ortigas, Pasig.

What's In It For You:

  • HMO on day 1 with dependent(s)
  • Free Lunch
wearehiring

Job Type: Full-time

Pay: Php30, Php33,000.00 per month

Benefits:

  • Health insurance
  • Life insurance

Work Location: In person

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