BPM Associate

2 days ago

Manila, National Capital Region, Philippines UST USource Full time $104,000 - $130,878 per year

The Customer Service Associate will provide exceptional customer service to customers via inbound Call Center Operations.

Duties/Responsibilities:

  • Receive and respond to inbound phone calls for customer assistance
  • Respond to outbound phone call requests
  • Document all calls in ticketing and tracking systems
  • Respond to customer inquiries and provide data to customers within a required time frame
  • Act as liaison between claims department and providers
  • Research customer claims in the primary payor systems
  • Ensure highest level of customer service on every call
  • Perform other duties as assigned or necessary

Required Skills/Abilities:

  • High school degree required
  • At least 1 year of relevant professional experience in healthcare claims operations or 1-2+ years of relevant experience in a Call Center environment
  • Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10 an advantage
  • Must be able to work with minimal supervision
  • Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts
  • Excellent verbal and written communication skills.
  • Attention to detail and problem solving skills
  • Proficiency with MS Office applications, especially Word and Excel
  • Amenable to working nightshift

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