Call Center Representative, Healthcare at Med-Metrix

Iloilo City, Western Visayas, Philippines -

Full Time

Start Date

Immediate

Expiry Date

08 Sep, 26

Salary

0.0

Posted On

10 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Claims Processing, Patient Account Resolution, Customer Service, Medical Billing, HIPAA Compliance, GE Centricity, Epic PB, MS Office, Verbal Communication, Organizational Skills, English Proficiency, Revenue Cycle Management

Industry

Hospitals and Health Care

Description

Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose The Call Center Representative serves callers by professionally answering inquiries, researching and resolving problems, and collecting self-pay balances. Duties and Responsibilities Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing information. Process patient credit card payments over the phone to resolve outstanding self-pay balances. Possess basic working knowledge of healthcare claims processing including: ICD-9/10, CPT, and HCPC codes, as well as 1500 forms. Possess working knowledge of the fundamental concepts in healthcare reimbursement methodologies and revenue cycle. Uses the GE and Epic workflow systems and other tools available to them. Ability to analyze, identify and resolve issues on patient accounts. Act cooperatively and courteously with patients, visitors, co-workers, management and clients. Adheres to the policies and procedures established for the client/team. Meets and maintains daily productivity standards established in departmental policies. Meets and maintains quality standards established in departmental policies. Maintains confidentiality at all times; adhere to HIPAA and PHI Guidelines. Ability to maintain composure when handling particularly difficult calls with customers. Perform all other tasks related to Call Center Department areas of responsibilities. Performs other related duties and special projects as required. Qualifications Previous experience in Hospital/Facility or Physician billing 1 year CSR experience (handling 100% inbound calls – US healthcare experience) Must be familiar with basic healthcare claims and denials; familiar with EOB Experience with GE Centricity or EPIC PB preferred Ability to work well individually and in a team environment Proficiency with MS Office Strong verbal communication skills Strong organizational skills English-speaking proficiency is required; bilingual skills a plus Ability to maintain composure when handling particularly difficult calls with customers Must be amenable to work during US hours Must be amenable to work onsite in Ortigas, Pasig City Working Conditions Work Set-Up: Onsite, Mandurriao, Iloilo Work Schedule: US hours, night shift; must be flexible to accommodate business needs Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Responsibilities

The representative handles patient inquiries and disputes via phone while researching and resolving account issues. They are also responsible for processing credit card payments to resolve outstanding self-pay balances.