Medical Claims Analyst
1 week ago
Job description:
The ideal candidate will have a basic understanding of healthcare claims and reimbursement processes, strong communication skills, and the ability to remain composed during challenging interactions. If you're passionate about helping others and thrive in a fast-paced call center environment, we'd love to hear from you.
Duties and Responsibilities
- Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing accurate information.
- Demonstrate basic working knowledge of healthcare claims processing
- Understand fundamental concepts in healthcare reimbursement methodologies and the revenue cycle.
- Analyze, identify, and resolve issues on patient accounts with accuracy and professionalism.
- Interact cooperatively and courteously with patients, visitors, co-workers, management, and clients.
- Adhere to all policies and procedures established for the client and team.
- Meet and maintain daily productivity standards as outlined in departmental policies.
- Meet and maintain quality standards in accordance with departmental expectations.
- Maintain confidentiality at all times and comply with HIPAA and PHI guidelines.
- Remain composed and professional when handling difficult or escalated customer calls.
- Perform all tasks related to the Call Center Department's areas of responsibility.
- Carry out other related duties and special projects as assigned.
Qualifications
- At least 1 year of experience in Customer Service handling Healthcare claims/billing
- Ability to work independently and collaboratively in a team environment
- Proficiency in Microsoft Office applications
- Strong verbal communication skills
- Strong organizational and time management abilities
- English-speaking proficiency required; bilingual skills are a plus
- Ability to remain calm and professional when handling difficult customer calls
Work Setup: 100% onsite
Work location: Ortigas Pasig City
Work Schedule: Night shift
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