Customer Service Representative

Risewave Consulting Inc.; Pasig; On-site; PHP 279,000 - 446,000; Full time

Benefits offered by this job

HMO on day 1 with dependents

Free Lunch

Job summary

A leading consulting firm in Pasig is seeking an Accounts Receivable Representative. This role involves managing collections, account follow-ups, and billing procedures. Candidates should have at least 1 year of experience in US Healthcare collections and be amenable to working onsite during night shifts. The position offers immediate HMO and free lunch.

Qualifications

• 1 year of experience in US Healthcare Account Receivable/Collections in a BPO setting.
• Experienced in medical billing and AR Collections.
• Background in calling insurance to verify claim status.
• Background in calling insurance (Payer) to verify claim status and payment dispute.

Responsibilities

• Follow-up with payers to resolve outstanding claims.
• Meet daily productivity and quality standards.
• Analyze and resolve issues causing payment delays.
• Adheres to client/team policies and procedures.
• Knowledge of timely filing deadlines for each payer.
• Performs research on payer billing guidelines as needed.
• Analyze and resolve payer payment delays and trends to reduce denials.
• Identify and correct medical billing errors and communicate results.

Skills

US Healthcare Account Receivable experience

Medical billing

Analytical skills

Communication skills

Education

High School education

Tools

Workflow system

Client host system

Job description

On-site - Pasig 1-3 Yrs Exp High/Senior High School Full-time

Job Description

The representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.

Responsibilities

• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
• Meets and maintains daily productivity/quality standards established in departmental policies.
• Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts.
• Adheres to the policies and procedures established for the client/team.
• Knowledge of timely filing deadlines for each designated payer.
• Performs research regarding payer specific billing guidelines as needed.
• Ability to analyze, identify and resolve issues causing payer payment delays.
• Ability to analyze, identify and trend claims issues to proactively reduce denials.
• Communicates to management any issues and/or trends identified.
• Initiate appeals when necessary.
• Ability to identify and correct medical billing errors.
• Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process.
• Understanding of under or over payments and credit balance processes.
• Assist with special A/R projects as needed. Analytical skills and the ability to communicate results are required.
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

• Completed at least High School education
• With minimum 1 year of US Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers)
• Experienced on medical billing/ AR Collections.
• Background in calling insurance (Payer) to verify claim status and payment dispute.
• Must be amenable to work night shifts.
• Must be amenable to work onsite in Ortigas, Pasig.

What’s In It For You

• HMO on day 1 with dependent(s)
• Free Lunch

HR Officer Risewave Consulting Inc.

Working Location

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