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Medical Account Bpo jobs in Manila

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    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied…
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    • Update accounts receivable with new accounts or missed payments.
    • Research and correct rejected claims and post payments.
    • Post payments or rejections received.
    • Comprehensive knowledge of medical terminology.
    • Licensed Medical Professional (PRC ID) or background in a Healthcare BPO account / clinical setting.
    • Working healthcare knowledge of benefits, eligibility, and medical claims processing.
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    • Support account-related tasks such as billing, orders, or troubleshooting (depending on account).
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    • Comprehensive medical, dental, vision, life insurance, and disability benefits (depending on location).
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    • This position is responsible for providing excellent service to our valued U.S. card members whose accounts have potential fraud activity.
    • Voice and Non-Voice account options.
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    • ₱30,000 Sign-On Bonus.
    • Assist patients with scheduling appointments and accessing medical records.
    • Verify insurance coverage and process medical claims and bills.
    • Medical Allied graduates are encouraged to apply, depending on account requirements.
    • Ability to understand and interpret medical and insurance-related…
    • Support account-related tasks such as billing, orders, or troubleshooting (depending on account).
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    • Support account-related tasks such as billing, orders, or troubleshooting (depending on account).
    • Must be currently residing within Metro Manila (if required…
    • At least 1 year of Quality Analyst experience in a BPO/Healthcare account preferred.
    • The Quality Analyst will be responsible for monitoring and evaluating…
    • Support account-related tasks such as billing, orders, or troubleshooting (depending on account).
    • Must be currently residing within Metro Manila (if required…
    • Assist patients and healthcare members with questions regarding healthcare services, accounts, and processes.
    • In this role, you will assist patients, healthcare…
Medical Biller
PHP 540,000 - PHP 546,000 a year
Full-time

Job details

Here’s how the job details align with your profile.

Pay

PHP 540,000 - PHP 546,000 a year

Job type

Full-time

Full job description

A Medical Biller works in healthcare facilities and is responsible for submitting claims to insurance companies.

Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions.

TASKS:

    • Managing inbound calls from and outbound calls to patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
    • Maintaining great phone etiquette
    • Helping with denials and follow-ups.
    • Correcting denial claims and resubmitting claims
    • Submitting electronic and paper claims to primary, secondary, and third-party insurance companies.
    • Recording and verifying explanation of benefits
    • Providing administrative support that includes: a) data entry and b) verifying insurance, follow-ups, and authorizations, and c) following up on and conducting collections as to outstanding balances and receivables

Requirements


QUALIFICATIONS:

    • Interested in US Healthcare Claims Customer Service
    • Must have excellent verbal and written English communication skills
    • Customer service experience in Insurance Billing
    • HIPAA Certification is a plus
    • Excellent time management
    • Strong attention to detail
    • Impartial
    • Highly organized
    • Computer savvy
    • Great work attitude and willingness to go the extra mile
    • Open to working night shifts

MINIMUM SYSTEM REQUIREMENTS:

  • PRIMARY SYSTEM
    • Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher
    • Computer Memory/RAM: 8.00 GB
    • Computer Operating System: At least Windows 11 64-bit or macOS Ventura
    • Headset: Any USB-type headset with noise-cancelling feature
    • Camera: Capable of a clear and crisp video output
  • BACK-UP SYSTEM
    • OPTION 1 (BACKUP SYSTEM):
      • Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher
      • Computer Memory/RAM: 8.00 GB
      • Computer Operating System: at least Windows 11 64-bit or macOS Ventura
      • Headset: Any USB-type headset with noise-cancelling feature (Optional)
    • OPTION 2 (POWER SUPPLY - UPS):
      • Must be capable of powering your work station for at least 3 hours
      • Typically a device with 240Wh or higher will be sufficient
      • Must be capable of accepting all the plugs required to maintain the primary device and work environment (device, monitor, modem, cell phone if using as internet backup)
  • PRIMARY INTERNET CONNECTION
    • DSL / Fiber Connection - Minimum of 100mb/s contracted
  • BACK-UP INTERNET CONNECTION
    • Minimum of 20mb/s (Cell)

RECOMMENDED SYSTEM REQUIREMENTS

  • PRIMARY SYSTEM
    • Computer Processor: Intel Core i7 and i9 Core or Core Ultra or AMD Ryzen 7 or higher
    • Computer Memory/RAM: 16.00 GB
    • Computer Operating System: At least Windows 11 64-bit or macOS Tahoe
    • Headset: Any USB-type headset with noise-cancelling feature
    • Camera: Capable of a clear and crisp video output
  • BACK-UP SYSTEM
    • OPTION 1 (BACKUP SYSTEM):
      • Computer Processor: Intel Core i7 and i9 Core or Core Ultra or AMD Ryzen 7 or higher
      • Computer Memory/RAM: 16.00 GB
      • Computer Operating System: At least Windows 11 64-bit or macOS Tahoe
      • Headset: Any USB-type headset with noise-cancelling feature
      • Camera: Capable of a clear and crisp video output
    • OPTION 2 (POWER SUPPLY - UPS):
      • Must be capable of powering your work station for at least 3 hours
      • Typically a device with 240Wh or higher will be sufficient
      • Must be capable of accepting all the plugs required to maintain the primary device and work environment (device, monitor, modem, cell phone if using as internet backup)
  • PRIMARY INTERNET CONNECTION
      • DSL / Fiber Connection - Minimum of 500mb/s contracted
  • BACK-UP INTERNET CONNECTION
      • Minimum of 20mb/s (Cell or wired)

Benefits


RATE AND REWARDS:

  • Starting rate is $800 (USD) monthly
  • Employment Type: Independent Contractor
  • Free Training
  • Paid Time Offs
  • HMO Coverage
  • Optical Rewards
  • Performance-Based Increase
  • Permanent Work From Home
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