Responsibilities

Doing outbound & inbound calls. This includes responding to questions and giving information to and from insurance representatives or patients.
Collecting payments to insurance companies over the phone.
Provide follow-up calls if required and participate in all quality assessment activities and assist to collect and analyze all information and recommend required improvements to all processes.
Insurance calls for open and denied claims.
Checking claim status online.
Correcting denied claims.
Work on denials, patient statements, audits, refund requests, and write-offs.
Providing positive, warm, and friendly service in all interactions.
Able to understand urgent/high-low priority tasks.
Process medical documents with sensitive information.
Assists in other areas as required.

Qualifications

With experience calling insurance companies on behalf of providers or someone with experience making collections call and strong improvisational speaking ability.
Excellent in English both oral and written is a must.
Knowledge of billing terminologies likely to be encountered in medical claims.
With great comprehension skills and attention to detail.
Experience in handling multiple demands.
Can work independently/ with minimal supervision.
An active listener.
Has basic knowledge to create MS Excel formulas.
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
Flexible with the schedules and training (holidays & weekends).
A good team player.

Screening Criteria

MUST HAVE STABLE EMPLOYMENT HISTORY.
MUST HAVE experience with US insurance calls and or collections (either medical or nonmedical).
Has call center experience.
MUST HAVE strong communication and comprehension skills.
MUST be keen to detail.
Temporary wfh set up. Should be willing to work on-site when recalled.
Amenable to work at 2:30 am PH schedule.
Can type 35wpm and above.
Not an accounting graduate. (client’s preference due to the risk of attrition)