Requirements:

• Graduate of any college degree.
• Must have 2+ years in a Healthcare BPO setting
• Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements.
• Working knowledge on the use of insurance payer websites ie: Availity, Optum, Medicare, Evicore portals.
• Working knowledge with Practice Management systems, preferably KAREO a plus.
• Effective communication abilities
• Proven problem-solving skills
• Proficient knowledge of medical terminology is likely to be encountered in medical claims denials.
• Amenable to work onsite during training and nesting period in Alabang, Muntinlupa City and US shifts

Responsibilities

• Monitor outstanding accounts to ensure timely collection of payments.
• Maintain accurate aging reports for all outstanding invoices.
• Prioritize accounts based on age, value, or client-specific requirements....