₱ 23000-25000 PHP / Monthly
RESPONSIBILITIES:
Ø Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.
Ø Submits adjustments or write-off requests for approval to resolve outstanding account balances.
Ø Submits medical record packets for submission to the payer for claims reprocessing, reconsideration or appeal requests.
Ø Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.
Ø Resolves claim rejections accordingly in order to release a clean claim to the payer.
Ø Responds to e-mail inquiries from different departments regarding pending insurance balances or claim denials.
Ø Maintains accurate and detailed notes/documentation in applicable systems.
Ø Keeps Supervisor and/or Manager informed of system issues.
Ø Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA)
Ø Other duties as assigned.
BASIC QUALIFICATIONS | EDUCATION:
Ø Completed at least 2 years in College or with an Associate or Bachelor’s Degree
Ø Excellent oral and written communication skills
Ø Thorough understanding of the US Healthcare Insurance claims
PREFERRED QUALIFICATIONS:
Ø Proficient Medicare and solid general payer knowledge
Ø Has the ability to read and interpret explanation of benefits
Ø Basic Excel, Word and Outlook experience required
Ø Typing using computer keyboards, 10-key pads and calculators
Ø Strong Computer/Software Skills
Ø Detail-oriented
Ø Typing speed of 35 wpm
Ø Occasional weekend work may be required
Ø Must be flexible to work on a night shift (between 6pm to 10am) Philippine Standard Time.
Ø Must be amenable to work on Overtime or during Rest Days when business requests for additional (paid) hours
COMPETENCIES:
Ø Internal – At least 1 year tenure in ACH
Ø External – 1 year of experience in Healthcare Insurance Collections and/or Correspondence