Medical Billing Specialist

4 days ago

Manila, National Capital Region, Philippines WHR Global Consulting Full time ₱324,000 per year

WHR Global Consulting is hiring a Full time Medical Billing Specialist role in Taguig, NCR. Apply now to be part of our team.

Job summary:

  • Looking for candidates available to work:
  • Monday: Evening
  • Tuesday: Evening
  • Wednesday: Evening
  • Thursday: Evening
  • Friday: Evening
  • 1 year of relevant work experience required for this role

  • Expected salary: ₱27,000 per month

  • Position Title: Medical Billing and Insurance Claims Specialist

  • Work Location: Alabang, Muntinlupa
  • Work Setup: Onsite
  • Work Schedule: Night Shift

Qualifications:

  • Minimum of 1 year of experience in medical billing, insurance claims, or a related field.
  • Must have at least 6 months of BPO experience handling healthcare accounts.
  • Strong English proficiency, both verbal and written.
  • Familiarity with healthcare regulations and industry guidelines.
  • Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
  • Detail-oriented and able to maintain accurate records.
  • Ability to work independently while adhering to internal guidelines and procedures.
  • Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
  • Willing to start ASAP.

Responsibilities/Duties:

  • Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
  • Conduct all calls in full compliance with the client's guidelines and applicable healthcare regulations.
  • Maintain professionalism and ensure clear communication during each call.
  • Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
  • Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
  • Deliver categorized data in periodic reports or through the client's portal, following the requested format and frequency.
  • Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
  • Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows.

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