Medical claims processor Jobs in Philippines

MedCore Solutions, the medical division of BizForce, is excited to announce an opening for a Patient Billing Support Specialist pecializing in Ophthalmology / Optometry. In this role, you will provide essential support to patients and healthcare providers in managing billing inquiries and resolving issues related to patient accounts. You will play a key role in ensuring accurate billing processes and a high level of patient satisfaction while working remotely in a permanent work-from-home environment.

Responsibilities

• Respond to patient inquiries regarding billing statements, balances, and available payment options.
• Clearly explain insurance coverage, deductibles, co-pays, and out-of-pocket costs.
• Provide empathetic and professional assistance to patients with billing concerns.
• Investigate and resolve discrepancies, denied claims, and other billing-related issues.
• Coordinate with healthcare providers and insurance companies to clarify claim statuses and resolve payment concerns.
• Assist in the appeal process for denied claims when necessary.
• Help patients set up payment plans and process payments or refunds accurately.
• Educate patients on financial policies and available options to manage outstanding balances.
• Support patients in understanding insurance plans, including TRICARE, Medicare, Medicaid, and coordination of benefits (COB).
• Provide guidance on eligibility and insurance benefits.
• Maintain accurate and up-to-date records of all patient interactions and billing activities using practice management software.
• Ensure compliance with HIPAA and other regulatory standards.
• Escalate unresolved issues to the billing or collections team as needed.
• Contribute to ongoing improvements in billing processes and procedures.

Other details : Start Date : TBD

Schedule : 8 hours / day Monday-Friday; 40 hours / week

Days Off : Saturday & Sunday

Time zone : Eastern Standard Time

Duration : Full-time; Steady state

Requirements

Key Results

System Requirements

Benefits

Who We Are

MedCore Solutions is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Why work with us?

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.