Responsible for processing accounts and working with designated payors to ensure proper reimbursement.
Responsible for all aspects of follow-up and collections, including making telephone calls, and accessing payer websites.
Identify issues or trending and provide suggestions for resolution.
Accurately and thoroughly documents the pertinent collection activity performed.
Review the account information and necessary system applications to determine the next appropriate work activity.
Verify claims adjudication utilizing appropriate resources and applications.
Initiate telephone or letter contact with patients to obtain additional information as needed.
Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
Participate and attend meetings, training seminars, and in-services to develop job knowledge. Participate in the monthly, quarterly, and annual performance evaluation process with their Supervisor.
Respond timely to emails and telephone messages as appropriate.
Communicate issues to management, including payer, system, or escalated account issues
Working Conditions:
Amenable to work onsite in BGC, Taguig
Willing to work in a nightshift schedule
Company Benefits:
Competitive Salary
HMO on day 1 plus 1 dependent; Additional 1 HMO dependents upon regularization
