Call Center Representative - US Healthcare (with 25K SOB)

MED-METRIX INTERNATIONAL PH-I, INC.; Metro Manila; On-site; PHP 240,000 - 360,000; Full time

Benefits offered by this job

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO with 2 of your dependents

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 summary

Med-Metrix International PH-I, INC. in Metro Manila is seeking a Call Center Representative to handle patient inquiries, resolve issues, and collect self-pay balances in a healthcare setting. The role requires at least 1 year of billing experience, English proficiency, and ability to work US hours onsite.

Training and benefits are provided, including HMO from day one and various allowances. Proficiency with GE Centricity or EPIC PB is preferred; strong organizational skills and teamwork are

Qualifications

• At least 1 year experience in Hospital/Facility or Physician billing.
• Expertise in reading and explaining EOB to customers.
• English-speaking proficiency is required; must pass English proficiency test.
• Willing to take high volume inbound calls in BPO environment.
• Proficiency with MS Office.
• Experience with GE Centricity or EPIC PB preferred.

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.
• Acts 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.

Skills

Billing experience

EOB explanation

English proficiency

High-volume inbound calls

MS Office

HIPAA/PHI knowledge

GE Centricity

EPIC PB

Teamwork

Organizational skills

Tools

GE Centricity

EPIC PB

Job description

Experience these Xtraordinary 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

• At least 1 year previous experience in Hospital/Facility or Physician billing.
• Expertise in reading and explaining EOB to customers.
• English-speaking proficiency is required. Must pass English proficiency test.
• Must be willing to take high volume inbound calls in BPO environment.
• Proficiency with MS Office
• Experience with GE Centricity or EPIC PB preferred.
• Ability to work well individually and in a team environment
• Strong organizational skills
• 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