Billing Specialist

Cebu City, PH (Onsite)  •  14 days ago
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Job Description

Our US partner began providing business support to the medical community in 1982. Since then they have expanded nationally to encompass services helping over 500 doctors across more than 70 specialties in settings varying from private practices to hospitals. They ensure that the numerous services that they offer continue to evolve with their clients' needs and the demands of developing technologies and standards.

As a Healthcare Billing Specialist you'll need to have experience in patient billing inquiries, payment-related concerns, and patient account support functions.

This is a full-time role, on a US shift, and on a Work in the office set-up.

If you have the right skill set, this may be your opportunity to enter this fast-growing organization.

DUTIES AND RESPONSIBILITIES:

Perform inbound and outbound calls to/from patients, insurance representatives, and onsite counterparts, as well as doctors' and law offices, when applicable.
Part of the task is to handle patient calls for the AFC Urgent Care.
Update the billing system with pertinent patient information coming from patients and other authorized entities.
Be able to work off existing billing software (GVT, TRIZETTO, and other tools required to complete the task at hand) and bill cases as well as follow-up accounts receivables, and prepare patient invoices as needed.
Post payments made by patients or by their representatives through the company's online payment portal partner -- electronic and/or mailed payments.
Comply and execute ad hoc tasks assigned by the direct supervisor/manager and/or onshore billing manager.
Be able to correct erroneous billing information, such as bill/remit codes, bill charges, and the like
Be able to meet minimum target metrics and provide an excellent customer experience to all patients, doctors, and its partner insurances.

QUALIFICATIONS:

With BPO experience of at least 1 year in a healthcare account
At Least 1 year of Healthcare BPO / Billing experience is required
Knowledge of ICD-10, CPT, and HCPCS billing in the US healthcare setting
Background in processing Claims/Claims Rejections and Appeals is a plus
Familiarity with GVT, TRIZETTO, and other Billing software is a plus
Familiarity with most healthcare insurance tools is a plus

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