Medical Billing Claims

Qualifications :

• Minimum of 1 year of experience in medical billing, insurance claims, or a related field.
• Must have at least 6 months of BPO experience handling healthcare accounts
• Strong English proficiency, both verbal and written.
• Familiarity with healthcare regulations and industry guidelines.
• Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
• Detail-oriented and able to maintain accurate records.
• Ability to work independently while adhering to internal guidelines and procedures.
• Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
• Willing to start ASAP

Key Responsibilities :

1. Outbound Calling :

Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.

Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations.

Maintain professionalism and ensure clear communication during each call.

2. Data Categorization and Labeling :

Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.

Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.

Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.

3. Call Transcript Analysis :

Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.

Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.

Salary : 33,000 / Sign bonus

Work Location : Alabang / Onsite