Healthcare Representative [Philippines]


 

JOB SUMMARY:

This role is responsible for timely and accurate resolution of account receivables either through insurance payment collections, adjustment, or write offs.

RESPONSIBILITIES:

  • Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.
  • Submits adjustments or write-off requests for approval to resolve outstanding account balances.
  • Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.
  • Resolves claim rejections accordingly in order to release a clean claim to the payer.
  • Responds to e-mail inquiries from different departments regarding pending insurance balances or claim denials.
  • Maintains accurate and detailed notes/documentation in applicable systems.
  • Keeps Supervisor and/or Manager informed of system issues.
  • Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
  • Other duties as assigned.

BASIC QUALIFICATIONS | EDUCATION:

  • Completed at least 2 years in College or with an Associate or Bachelor’s Degree.
  • Excellent oral and written communication skills.
  • Thorough understanding of the US Healthcare Insurance claims.

PREFERRED QUALIFICATIONS:

  • Proficient Medicare and solid general payer knowledge
  • Has the ability to read and interpret explanation of benefits
  • Basic Excel, Word and Outlook experience required
  • Typing using computer keyboards, 10-key pads and calculators
  • Strong Computer/Software Skills
  • Detail-oriented
  • Typing speed of 35 wpm
  • Occasional weekend work may be required
  • Must be flexible to work on a night shift (between 6pm to 10am) Philippine Standard Time.
  • Must be amenable to work on Overtime or during Rest Days when business requests for additional (paid) hours.

Job Type: Fixed term
Contract length: 6 months

Salary: Php27,000.00 per month

Benefits:

  • Company Christmas gift
  • Company events
  • Health insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Schedule:

  • 8 hour shift
  • Shift system

Supplemental pay types:

  • 13th month salary
  • Overtime pay

Ability to commute/relocate:

  • Taguig City: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Healthcare: 1 year (Required)

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