Spanish Bilingual Representative (Medical Claims)

MED-METRIX INTERNATIONAL PH-I, INC.; Pasig; On-site; PHP 201,000 - 312,000; Full time

Benefits offered by this job

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO with dependents

Medical Cash Allowance

Rice Allowance

Clothing Allowance

Free Lunch Daily

Paid Time Off

Training and Staff Development

Employee Engagement Activities

Internal Mobility Opportunities

Job summary

Med-Metrix International PH-I, INC. is seeking a Spanish bilingual healthcare claims representative in Ortigas, Pasig City. You will answer inquiries, resolve disputes, and collect self-pay balances via phone, while using GE and Epic systems and maintaining HIPAA compliance.

The role requires healthcare claims experience, strong English and Spanish communication, and the ability to work US hours in a collaborative team environment. On-site position with benefits featured.

Qualifications

• Healthcare claims experience between 6 months and 1 year.
• Able to work independently and in a team environment.
• Proficient with MS Office.
• Strong organizational skills.
• Maintains composure during difficult calls with customers.
• Willing to work US hours.
• On-site work at Ortigas, Pasig City.

Responsibilities

• Respond to patient inquiries and disputes by clarifying, researching, locating, and providing information.
• Process patient credit card payments over the phone to resolve balances.
• Have basic knowledge of healthcare claims processing including ICD-9/10, CPT, HCPC codes and 1500 forms.
• Understand revenue cycle and healthcare reimbursement concepts.
• Utilize GE and Epic workflow systems and related tools.
• Analyze and resolve issues on patient accounts.
• Collaborate courteously with patients, visitors, co-workers, management and clients.
• Adhere to client/team policies and maintain daily productivity and quality standards.
• Maintain confidentiality per HIPAA and PHI guidelines.

Skills

Spanish bilingual

English communication

Healthcare claims

MS Office

Teamwork

Customer service

Tools

GE Healthcare

Epic

ICD/CPT knowledge

Job description

Experience these exceptional 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 Spanish Bilingual 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

• Strong verbal communication skills in both English and Spanish, required

• Must have at least 6 months to 1 year of healthcare claims experience

• Ability to work well individually and in a team environment

• Proficiency with MS Office

• Strong organizational skills

• Ability to maintain composure when handling particularly difficult calls with customers

• Must be willing work US hours

• Must be amenable to work on site Ortigas, Pasig City

Working Conditions

• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

• Work Environment: The noise level in the work environment is usually minimal.