Customer Service Representative | Medical Biller | HMO on Day 1

Enshored Inc.; Metro Manila; On-site; PHP 391,000 - 725,000; Full time

Job summary

Enshored, Inc. is seeking a Billing Care Service specialist to manage end-to-end billing claims in EMRs and proprietary software, identify revenue opportunities, and collaborate with the Ministry of Health to ensure timely government paperwork completion.

You will support daily operations, analyze billing data, and maintain strong customer relationships through inquiries via our support channels, contributing to service innovation and process improvements.

Qualifications

• At least 2 years of customer service experience for English-speaking businesses/clients
• Outstanding written and verbal communication skills with clear pronunciation
• Background in healthcare, collections, and/or billing is an advantage
• Experience in medical billing and working with EMRs in Ontario is an advantage
• Knowledge of the healthcare system is an asset
• Experience with tools such as Excel, Salesforce, EMRs, or medical billing software

Responsibilities

• Submit, update, and reconcile billing claims and errors in EMRs and DoctorCare's proprietary billing software
• Identify billing and revenue opportunities for customers
• Liaise with the Ministry of Health to answer questions and resolve billing errors
• Assist customers with government paperwork accurately and on time
• Maintain positive relationships with customers via support channels
• Listen to customer needs and suggest improvements to the team
• Look for ways to streamline service delivery and ask, Is there a better way?
• Monitor KPIs and customer satisfaction across services
• Submit, monitor, and reconcile OHIP claims per OHIP Schedule of Benefits
• Identify, investigate, and resolve rejected or adjusted claims

Skills

Customer service

English communication

Attention to detail

Problem solving

Tools

Excel

Salesforce

EMRs

Medical billing software

Job description

About the role

Provide end-to-end support for the client's Billing Care Service by managing billing claims in EMRs and proprietary software, identifying revenue opportunities, coordinating with the Ministry of Health, and ensuring accurate, timely completion of government paperwork.

Key responsibilities

• Support the day-to-day delivery of the client's Billing Care Service by submitting, updating, and reconciling billing claims and errors in EMRs and DoctorCare's proprietary billing software

• Use your analytical skills to identify billing & revenue opportunities for customers

• Liaise with the Ministry of Health to help customers answer questions and resolve billing errors

• Use your keen attention to detail to help customers complete government paperwork accurately and on time

• Leverage your great customer service skills to maintain positive relationships with customers by answering questions about the client's services and inbound inquiries through our customer support channels

• Help the client continue to innovate its service offering by listening to customer needs and making thoughtful suggestions to the team

• Look for ways to streamline our service delivery by always thinking, "Is there a better way?"

• Monitor KPIs and customer satisfaction feedback across all services

• Submit, monitor, and reconcile OHIP claims in accordance with the OHIP Schedule of Benefits

• Identify, investigate, and resolve rejected or adjusted claims

About you

• At least 2 years of Customer Service Experience for English Speaking businesses/clients/customers

• Outstanding written and verbal communication skills, neutral English accent with clear pronunciation, great email, chat, and phone etiquette

• Background in Healthcare, collections, and/or billing programs/accounts is an advantage but not a requirement

• Experience in medical billing and working within EMRs in Ontario is an advantage but not a requirement

• Knowledge of the healthcare system is considered an asset

• Experience with any of the following tools is also beneficial: Microsoft Excel, Salesforce, EMRs, medical billing software

• Resourceful: Able to learn independently and use new knowledge to solve problems

• Honest: Able to acknowledge mistakes and always does one's best to operate with the highest degree of integrity

• Humble: Able to remove ego from discussion to identify the best solution to a problem

• Smart: Able to quickly apply new knowledge to foreign situations

Applicant Privacy Notice & Consent

1. How We Use Your Data

When you apply for a position with us, Enshored, Inc. ("Enshored") collects and processes your personal data to evaluate your suitability for employment. This includes reviewing your resume, references, and any details provided during interviews. Your data may also be shared with our authorized service providers who process data on our behalf, solely in connection with this recruitment activity.

2. Retention

If your application is successful, this data will become part of your personnel file. If we do not hire you at this time, we will keep your information on file for two (2) years for record-keeping and talent pool purposes.

3. Your Rights

You have the right to access, correct, or request the deletion of your personal data at any time by contacting our Data Protection Officer at pri••••@enshored.com. To learn more about how we handle and protect your information, please read our full Applicant Privacy Notice.

Consent Statement

By submitting your application and resume through this job board, you expressly consent to the processing of your personal data for recruitment and hiring purposes as described above and in accordance with Enshored's Applicant Privacy Notice.