Call Center Representative, Healthcare

4 days ago


Iloilo City, Western Visayas, Philippines Med-Metrix Full time

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

  • Group Life Insurance

  • Medical Cash Allowance

  • Rice Allowance

  • Clothing Allowance

  • Holiday Gift

  • Bereavement Assistance

  • 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 

  • 1 yrs CSR experience (handling 100% inbound calls – US healthcare experience)

  • 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 

  • Work Location: Onsite in Mandurria, Iloilo Onsite
  • Work Setup: Fulltime Permanent
  • Work Schedule: Night Shift M-F 9PM - 5AM
  • 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. 


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