Healthcare Customer Service Representative

5 days ago

Ortigas, Philippines Comrise Full time ₱396,000 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.
  • Adheres to the policies and procedures established for the client/team.
  • Knowledge of timely filing deadlines for each designated payer.
  • Performs research regarding payer specific billing guidelines as needed.
  • Ability to analyze, identify and resolve issues causing payer payment delays.
  • Ability to analyze, identify and trend claims issues to proactively reduce denials.
  • Communicates to management any issues and/or trends identified.
  • Initiate appeals when necessary.
  • Ability to identify and correct medical billing errors.
  • Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process.
  • Understanding of under or over payments and credit balance processes.
  • 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: Php25, Php33,000.00 per month

Benefits:

  • Health insurance
  • Life insurance

Work Location: In person

  • Customer Service Representative

    2 weeks ago

    Ortigas, Philippines GeBBS Full time ₱264,000 per year

    APPLY NOW, WE ARE LOOKING FOR NEW HEALTHCARE CUSTOMER SERVICE REPRESENTATIVE TO JOIN OUR HEALTHCARE ACCOUNT IN ORTIGAS SITE.10%NightDiff - Depends on BPO Experience and Enjoy Fixed Weekends OffQUALIFICATIONS:- with minimum 12 months Healthcare BPO Experience- Excellent customer service orientation.- Strong interpersonal and good communication skills.-...

  • Customer Service Representative

    4 weeks ago

    Ortigas, Philippines VCC Link, Inc. Full time

    Job Description: Respond to inbound and outbound calls, emails, and chats from patients, members, or providers. Provide accurate information about healthcare plans, coverage, claims, billing, authorizations, and medical services. Handle escalations and resolve customer concerns with empathy, accuracy, and professionalism. Qualifications: College...

  • Customer Service Representative

    2 weeks ago

    Ortigas, Philippines Comrise Full time ₱288,000 per year

    Position: Customer Service RepresentativeLocation: Ortigas CityWork Arrangement: Onsite 100%Shift: Night ShiftResponsibilities: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...

  • Healthcare Customer Service Representative

    3 days ago

    Ortigas, Philippines Global Group Innovative Services Full time ₱336,000 - ₱360,000 per year

    HEALTHCARE SPANISH BILINGUALS30k Signing Bonus30k salary package10% night diff1 year healthcare (English account)OnsiteCan start ASAPJob Types: Full-time, Permanent, Fresh graduatePay: Php28, Php30,000.00 per monthExperience:healthcare: 1 year (Required)Language:Spanish (Required)Work Location: In person

  • Customer Service Representative – Healthcare Account

    7 days ago

    Ortigas, Philippines Metacom Full time ₱144,000 - ₱360,000 per year

    Job Description:Join Foundever and become part of our Healthcare Account team in Mandaluyong (Eton Cyberpod Ortigas). Handle voice support for healthcare customers, assist with account inquiries, and ensure a high level of service quality. This role offers competitive pay, incentives, and comprehensive benefits.Qualifications:At least Senior High School...

  • Customer Service Representative

    5 days ago

    Ortigas, Philippines Comrise Full time ₱300,000 - ₱396,000 per year

    Position: Customer Service Representative ARLocation: Ortigas CityWork Arrangement: Onsite 100%Shift: Night ShiftResponsibilities: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...

  • Customer Service Representative

    2 weeks ago

    Ortigas Center, Philippines VCC Link, Inc. Full time

    Job Description: Respond to inbound and outbound calls, emails, and chats from patients, members, or providers. Provide accurate information about healthcare plans, coverage, claims, billing, authorizations, and medical services. Handle escalations and resolve customer concerns with empathy, accuracy, and professionalism. Qualifications: College...

  • Customer Service Representative

    5 days ago

    Ortigas, Philippines Comrise Full time ₱300,000 - ₱360,000 per year

    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...

  • Customer Service Representative

    2 weeks ago

    Ortigas, Philippines Satellite Office Solutions Full time ₱240,000 - ₱600,000 per year

    CUSTOMER SERVICE REPRESENTATIVEWork for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and just be aweSOme Apply now and discover the Satellite Office Candidate Experience – recognized as one of BEST among BPO companies worldwide.WHAT IS A/AN CUSTOMER SERVICE REPRESENTATIVE ?We are seeking a proactive and...

  • Healthcare Customer Service Representative

    3 days ago

    Ortigas, Philippines Metacom Full time ₱240,000 - ₱360,000 per year

    Job Description:Join Foundever's Healthcare Account in Pasig Handle voice support for US-based clients — assisting members with insurance inquiries, benefits, and claims. Earn competitive pay with amazing incentives and benefitsQualifications:Senior High School (K-12) Graduate or College LevelMinimum of 1 year BPO experience in an international voice...