Customer Healthcare Representative

ACS pro Global Corporation; Bulacan; On-site; PHP 223,000 - 335,000; Full time

Job summary

ACS pro Global Corporation is seeking a Customer Healthcare Representative to assist customers and patients with insurance authorizations. The role collaborates with billing, admissions, and records teams to keep authorizations current and ensure files are complete and signed off.

You will update patient insurance records electronically, verify benefits, and follow up on balances with insurance payors. Strong communication, attention to detail, and proficiency in Microsoft Office are essential.

Qualifications

• Healthcare or business/administration coursework required.
• Good communication skills required.
• Keen observer with attention to detail required.
• Computer literate, proficient in Microsoft Office apps.

Responsibilities

• Verifies insurance benefits for customers/patients.
• Submits and follows up on authorizations for assigned payors.
• Requests authorization via fax, portal, or call.
• Documents status, actions and outcomes of requests.
• Contacts insurance companies to follow up on balances.
• Keeps patient records and company information confidential.
• Updates patient insurance and demographic information as needed.
• Responds to calls regarding insurance concerns.
• Reviews portals to ensure licences and physician information are up to date.
• Ensures all documents are attached and signed.

Skills

Communication skills

Attention to detail

Microsoft Office

Education

Healthcare or business administration course

Tools

Microsoft Office

Job description

Job Description

A Customer Healthcare Representative handles authorization requests for customers or patients. They work with the billing team and staff members to ensure that the number of authorizations is up-to-date and sufficient. Moreover, they work with the admission team and staff members to ensure all files are complete and signed off. They are also responsible for updating the insurance file of patients electronically and updating the physician’s information in the system. Lastly, they ensure that all patient accounts with balances are reviewed, transferred, and posted accordingly.

Responsibilities

• Handles the initial verification of insurance benefits for customers/patients.
• Handles authorization submissions and follow-ups for all insurance payors assigned.
• Regularly requests authorization via fax, portal, or call.
• Documents case status, actions, and outcome of the authorization requests
• Regularly calls insurance companies to follow up on pending account balances of the patient.
• Keeps patient’s records and company information confidential.
• Updates patient insurance and demographic information as needed.
• Regularly answer incoming calls received regarding insurance concerns.
• Regularly review different portals to ensure licenses and other physician information are correct and up to date.
• Regularly review documents to ensure that all are attached to the patient and it has been signed.

Minimum Qualifications

• Any course related to healthcare or business/administration
• Good communication skills
• A keen observer and attention to detail
• Computer literate, mainly in Microsoft Office apps