CSR - Claims Analyst | Inhouse Healthcare BPO

Job Description:

.The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.

• DUTIES AND RESPONSIBILITIES:

Review patient accounts and perform appropriate follow up actions to resolve the

• outstanding balance according to best practice standards.

Complete and send appropriate claim forms according to CMS and third-party payor

• guidelines.

Follow up with medical insurance payors regarding the status of outstanding claims.

• Contact patients and guarantors regarding outstanding self pay balances due.

Compose correspondence to insurance payors, third parties, and patients regarding the

• resolution of outstanding balances and claim appeals.

Document all actions taken in appropriate Client host system.

• QUALIFICATIONS:

Senior High Graduate or College level are welcome to apply

• 1 year Healthcare experience handling claims processing

Can work onsite in Ortigas, Pasig

• Willing to handle shifting Schedule

Job Types: Full-time, Permanent

Pay: Php30,

• 00 - Php35,000.00 per month
  
  Benefits:
• Additional leave

Company events

• Health insurance

Opportunities for promotion

• Promotion to permanent employee

Schedule:

• 8 hour shift

Monday to Friday
Supplemental pay types:

• 13th month salary

Overtime pay

Experience:

• Claims processing: 1 year (Preferred)

Healthcare Insurance BPO: 1 year (Preferred)

Language:

* English (Required)