Process Associate

2 weeks ago

Clark Freeport Zone Pampanga, Philippines HealthyBOS | A Knack RCM Company Full time ₱150,000 - ₱250,000 per year

RESPONSIBILITIES

● Calling insurance companies to follow up on claims filed to expedite payment.

● Communicate directly with insurance payers to resolve claims issues.

● Create and file appeals as necessary.

● Check the correct status of AR follows up denials / payments by directly calling insurance companies.

● Verify the reason for denial or delay in payment of claim and to identify what all steps need to be taken.

● Effectively communicates coding / billing issues which are causing denials to Lead.

● Responsible for the account coordinator to implement back up coverage and assignment of files when out of the office.

QUALIFICATIONS

● Completed 2 years or a Bachelor's Degree holder in any field.

● Concrete experience in the BPO Industry

● Knowledgeable in US healthcare regulations and standards. Strong analytical and critical thinking abilities with a keen eye for detail.

● Excellent communication skills, both verbal and written.

● A results-oriented mindset, focused on driving continuous improvement and achieving performance excellence.

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