Billing Specialist

Tahche Outsourcing Services Inc; Cebu City; On-site; PHP 312,000 - 402,000; Full time

Job summary

Tahche Outsourcing Services Inc. is seeking a Healthcare Billing Specialist for a US shift, full-time, in-office setup in Cebu City. The role focuses on patient billing inquiries, payments, and account support across multiple billing systems.

The ideal candidate has 1+ year in healthcare BPO/billing, knowledge of US ICD-10, CPT, and HCPCS, and familiarity with billing tools like GVT and TRIZETTO. Join a fast-growing organization with strong client relations.

Qualifications

• 1+ year of BPO experience in a healthcare account.
• At least 1 year of Healthcare BPO / Billing experience.
• Knowledge of ICD-10, CPT, and HCPCS billing in the US healthcare setting.
• Familiarity with billing software such as GVT and TRIZETTO is a plus.
• Familiarity with most healthcare insurance tools is a plus.

Responsibilities

• Handle inbound and outbound calls from patients, insurance reps, onsite staff, doctors, and law offices as applicable.
• Address AFC Urgent Care patient calls and billing inquiries.
• Update the billing system with patient information from patients and authorized entities.
• Bill cases and manage follow-up accounts receivable using the billing software.
• Post payments from patients or their representatives via the online portal or mail.
• Perform ad hoc tasks assigned by supervisor/manager and onshore billing manager.
• Correct erroneous billing information such as codes and charges.
• Meet targets and deliver excellent customer experience to patients and insurers.

Skills

BPO experience

Healthcare BPO

ICD-10 knowledge

CPT knowledge

HCPCS knowledge

Tools

GVT

TRIZETTO

Job description

Our US partner began providing business support to the medical community in 1982. Since then they have expanded nationally to encompass services helping over 500 doctors across more than 70 specialties in settings varying from private practices to hospitals. They ensure that the numerous services that they offer continue to evolve with their clients' needs and the demands of developing technologies and standards.

As a Healthcare Billing Specialist you'll need to have experience in patient billing inquiries, payment-related concerns, and patient account support functions.

This is a full-time role, on a US shift, and on a Work in the office set-up.

If you have the right skill set, this may be your opportunity to enter this fast-growing organization.

Duties and Responsibilities:

• Perform inbound and outbound calls to/from patients, insurance representatives, and onsite counterparts, as well as doctors' and law offices, when applicable.
• Part of the task is to handle patient calls for the AFC Urgent Care.
• Update the billing system with pertinent patient information coming from patients and other authorized entities.
• Be able to work off existing billing software (GVT, TRIZETTO, and other tools required to complete the task at hand) and bill cases as well as follow-up accounts receivables, and prepare patient invoices as needed.
• Post payments made by patients or by their representatives through the company's online payment portal partner -- electronic and/or mailed payments.
• Comply and execute ad hoc tasks assigned by the direct supervisor/manager and/or onshore billing manager.
• Be able to correct erroneous billing information, such as bill/remit codes, bill charges, and the like.
• Be able to meet minimum target metrics and provide an excellent customer experience to all patients, doctors, and its partner insurances.

Qualifications:

• With BPO experience of at least 1 year in a healthcare account
• At least 1 year of Healthcare BPO / Billing experience is required
• Knowledge of ICD-10, CPT, and HCPCS billing in the US healthcare setting
• Background in processing Claims/Claims Rejections and Appeals is a plus
• Familiarity with GVT, TRIZETTO, and other Billing software is a plus
• Familiarity with most healthcare insurance tools is a plus