Csr Medical Background jobs

Job Summary

We are seeking an experienced and detail-oriented Medical Billing Healthcare Customer Service Representative (CSR) with a strong background in healthcare collections and self-pay account management. The ideal candidate will provide exceptional customer service while assisting patients with billing inquiries, payment arrangements, insurance-related concerns, and collection activities. This role requires excellent communication skills, knowledge of medical billing processes, and the ability to resolve account issues efficiently while maintaining compliance with HIPAA and company policies.

Key Responsibilities

• Handle inbound and outbound calls related to patient billing, collections, and self-pay accounts.
• Review patient accounts to identify outstanding balances and initiate appropriate collection efforts.
• Educate patients regarding billing statements, insurance processing, and financial responsibility.
• Assist patients in setting up payment plans and processing payments.
• Investigate and resolve billing discrepancies, denied claims, and account balances.
• Verify insurance coverage, benefits, and claim status as needed.
• Document all customer interactions accurately in the billing system.
• Follow established collection workflows while maintaining a compassionate and professional approach.
• Ensure compliance with HIPAA, FDCPA (where applicable), and all healthcare billing regulations.
• Collaborate with insurance companies, providers, and internal departments to resolve billing issues.
• Meet productivity, quality, and collection performance goals.

Required Qualifications

• Minimum of 1 year of experience in healthcare customer service, medical billing, or revenue cycle management.
• Proven experience in healthcare collections and self-pay account management.
• Strong understanding of medical billing terminology, insurance claims, EOBs, deductibles, copays, coinsurance, and patient responsibility.
• Experience working with electronic medical records (EMR/EHR) and medical billing systems.
• Proficiency in Microsoft Office applications, particularly Excel and Outlook.
• Excellent verbal and written communication skills.
• Strong problem-solving, negotiation, and conflict-resolution skills.
• Ability to manage multiple tasks in a fast-paced environment while maintaining attention to detail.

Preferred Qualifications

• Experience with Medicare, Medicaid, and commercial insurance plans.
• Knowledge of revenue cycle management processes.
• Experience with payment plan administration and patient financial counseling.
• Familiarity with healthcare compliance standards, including HIPAA.

Core Competencies

• Customer Service Excellence
• Medical Billing & Coding Knowledge
• Healthcare Collections
• Self-Pay Account Management
• Insurance Verification & Claims Resolution
• Payment Negotiation
• Attention to Detail
• Time Management
• Problem Solving
• Team Collaboration
• Professional Communication

Work Environment

• Office-based, remote, or hybrid work environment, depending on business needs.
• May require occasional overtime based on workload and month-end collection activities.

Performance Expectations

• Achieve established collection and productivity goals.
• Maintain high-quality customer service standards.
• Ensure accurate account documentation and timely follow-up.
• Adhere to all organizational policies and regulatory requirements.

Pay: Php25,000.00 - Php30,000.00 per month

Benefits:

• Additional leave
• Company Christmas gift
• Company events
• Employee discount
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Promotion to permanent employee
• Transportation service provided

Experience:

• Medical Billing: 1 year (Preferred)
• Healthcare Collection/ Self Pay: 1 year (Preferred)
• Healthcare Customer Service Representative: 1 year (Preferred)

Work Location: In person