Customer Service Representative for US Healthcare Insurance (McKinley Taguig)

Industry Category	Services	Position	Customer Service
Recruitment Department		Number Of Recruits	several
Work Location	All Cities	Nature Of Work	Full Time
Gender Requirements	Male	Marriage Requirement	No marital status restrictions
Education Level	Open to all levels	Work Experience	No work experience restrictions
Age Requirement	Above 18 years old	Salary Package	23000-25000 PHP / Monthly
Updated Date	2022-09-27	Valid Until	Long-term validity

RESPONSIBILITIES:

Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.Submits adjustments or write-off requests for approval to resolve outstanding account balances.Submits medical record packets for submission to the payer for claims reprocessing, reconsideration or appeal requests. Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.Resolves claim rejections accordingly in order to release a clean claim to the payer. Responds to e-mail inquiries from different departments regarding pending insurance balances or claim denials. Maintains accurate and detailed notes/documentation in applicable systems.Keeps Supervisor and/or Manager informed of system issues.Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA)Other duties as assigned.

 BASIC QUALIFICATIONS | EDUCATION:

Completed at least 2 years in College or with an Associate or Bachelor’s DegreeExcellent oral and written communication skillsThorough understanding of the US Healthcare Insurance claims

PREFERRED QUALIFICATIONS:

Proficient Medicare and solid general payer knowledgeHas the ability to read and interpret explanation of benefitsBasic Excel, Word and Outlook experience requiredTyping using computer keyboards, 10-key pads and calculatorsStrong Computer/Software SkillsDetail-orientedTyping speed of 35 wpmOccasional weekend work may be requiredMust be flexible to work on a night shift (between 6pm to 10am) Philippine Standard Time.Must be amenable to work on Overtime or during Rest Days when business requests for additional (paid) hours

COMPETENCIES:

Internal – At least 1 year tenure in ACHExternal – 1 year of experience in Healthcare Insurance Collections and/or Correspondence

BusinessTrends Philippines is a leading provider of total workforce management solutions that has been operating in the Philippines since 1999.  BusinessTrends is a part of the SFI Group of Companies, which has been in the Workforce Management industry since 1961.BusinessTrends  offers a comprehensive array of managed workforce solutions, permanent placement, outsourcing, specialized recruitment and consulting services. BusinessTrends’ workforce management expertise is being utilized by numerous companies in various industries: Business Process Outsourcing, Information Technology, Banking and Finance, Engineering, Real Estate and Property Management, Scientific & Healthcare, and Professional Support.BusinessTrends complies with the Department Order 18-A under Department of Labor and Employment and a proud member of People Management Association of the Philippines, American Chamber of Commerce and the IT and Business Processing Association of the Philippines.