healthcare csr

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix

Experience these exceptional benefits when you join Med-Metrix

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

Job Purpose

The Call Center Representative serves callers by professionally answering inquiries, researching and resolving problems, and collecting self-pay balances.

Duties and Responsibilities

• Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing information.
• Process patient credit card payments over the phone to resolve outstanding self-pay balances.
• Possess basic working knowledge of healthcare claims processing including: ICD-9/10, CPT, and HCPC codes, as well as 1500 forms.
• Possess working knowledge of the fundamental concepts in healthcare reimbursement methodologies and revenue cycle.
• Uses the GE and Epic workflow systems and other tools available to them.
• Ability to analyze, identify and resolve issues on patient accounts.
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
• Adheres to the policies and procedures established for the client/team.
• Meets and maintains daily productivity standards established in departmental policies.
• Meets and maintains quality standards established in departmental policies.
• Maintains confidentiality at all times; adhere to HIPAA and PHI Guidelines.
• Ability to maintain composure when handling particularly difficult calls with customers.
• Perform all other tasks related to Call Center Department areas of responsibilities.
• Performs other related duties and special projects as required.

Qualifications

• Previous experience in Hospital/Facility or Physician billing
• Must have at least 1 year US Healthcare - Medical/ healthcare experience (handling 100% inbound calls for a US healthcare account)
• Must be familiar with basic healthcare claims and denials; familiar with EOB
• Experience with GE Centricity or EPIC PB preferred
• Ability to work well individually and in a team environment
• Proficiency with MS Office
• Strong verbal communication skills
• Strong organizational skills
• English-speaking proficiency is required; bilingual skills a plus
• Ability to maintain composure when handling particularly difficult calls with customers
• Must be amenable to work during US hours
• Must be amenable to work onsite in Ortigas, Pasig City

Working Conditions

• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, gender(including pregnancy, gender identity, and sexual orientation), parental status, national origin, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.