Customer Service Representative

2 days ago

Pasig, National Capital Region, Philippines Comrise Full time ₱210,000 - ₱420,000 per year

Job Description:

Join a dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you will play a key role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits from day one, ongoing professional development, and the satisfaction of helping others every day.

Benefits Include:

  • 8-Hour Shifts, Fixed Weekends Off
  • Day 1 HMO coverage including 2 dependents
  • Medical Cash Allowance
  • Rice and Clothing Allowances
  • Free Lunch Daily
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility

Job Purpose:

The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts.

Key Duties and Responsibilities:

  • Follow-up with payers to ensure timely resolution of outstanding claims via phone, email, fax, or websites
  • Meet daily productivity and quality standards
  • Use workflow systems, client host systems, and other tools to collect payments and resolve accounts
  • Adhere to client/team policies and procedures
  • Understand timely filing deadlines for each payer
  • Research payer-specific billing guidelines as needed
  • Analyze and resolve issues causing payment delays and reduce denials
  • Initiate appeals when necessary and ensure accuracy in documentation
  • Identify and correct medical billing errors
  • Assist with special A/R projects as needed
  • Maintain confidentiality and professional conduct at all times
  • Comply with HIPAA and Information Security policies

Qualifications:

  • At least a High School diploma
  • Minimum 1 year of healthcare Accounts Receivable/Collections experience in a BPO environment
  • Experience in medical billing/AR collections and calling insurance payers to verify claims
  • Strong interpersonal, communication, and problem-solving skills
  • High integrity, dependability, and results-oriented mindset
  • Excellent written and verbal communication skills
  • Gracious and professional customer service demeanor

Working Conditions:

  • Night shift availability required
  • Must be willing to work onsite
  • Physical demands: occasional movement, sitting, manual tasks, operating office equipment, extending arms, kneeling, talking, and hearing
  • Mental demands: follow directions, collaborate, handle stress
  • Work environment: generally minimal noise levels

Job Types: Full-time, Permanent

Pay: Up to Php35,000.00 per month

Benefits:

  • Discounted lunch
  • Health insurance

Application Question(s):

  • Are you amenable to work onsite in a night shift in Pasig?
  • How much are your salary expectations?

Experience:

  • Healthcare: 1 year (Required)
  • Medical Billing, AR Follow ups, Denials and Appeals: 1 year (Required)
  • Calling insurance (Payer) : 1 year (Required)
  • Healthcare Account Receivable/Collections: 1 year (Required)

Work Location: In person

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