Healthcare Account l Cebu

Key Responsibilities

Answer Inquiries :

Handle calls, emails, or chats from patients or healthcare providers regarding insurance coverage, claims, billing, or authorizations.

Process Claims :

Assist in verifying and processing insurance claims or medical benefits.

Appointment Scheduling :

Book, reschedule, or cancel medical appointments as requested by patients.

Medical Records Support :

Help with requests for medical records, lab results, or prescription refills (within guidelines).

Ensure Compliance :

Follow strict confidentiality and data protection rules (e.g., HIPAA compliance).

Update Patient Information :

Record and update patient or insurance details accurately in the system.

Problem Resolution :

Investigate and resolve issues related to denied claims, incorrect billing, or missing documentation.

Customer Service :

Provide professional, empathetic, and efficient service to ensure patient satisfaction.

Documentation :

Log all customer interactions and resolutions clearly and accurately.

Skills & Qualifications

Strong communication skills

Basic knowledge of medical terms or health insurance (training provided)

Typing and computer proficiency

Attention to detail

Ability to handle confidential information