Call Center Representative
9 hours ago
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
- 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
- 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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