This role is responsible for processing insurance and/or payment refunds to resolve credit balances on customer accounts.
**RESPONSIBILITIES**:
Ø Reviews credit balance and contacts the insurance in order to determine if refund due to the insurance or customer is valid.
Ø Submits refund, adjustments or write-off, or (patient) payment transfer requests with complete supporting documents as necessary for approval to resolve outstanding credit balances.
Ø Maintains accurate and detailed notes/documentation in applicable systems.
Ø Keeps Supervisor and/or Manager informed of system issues.
Ø Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
Ø Other duties as assigned.
**BASIC QUALIFICATIONS | EDUCATION**:
Ø Completed at least 2 years in College or with an Associate or Bachelor's Degree
Ø Excellent oral and written communication skills
Ø Thorough understanding of the US Healthcare Insurance claims
**PREFERRED QUALIFICATIONS**:
Ø Proficient Medicare and solid general payer knowledge
Ø Has the ability to read and interpret explanation of benefits
Ø Basic Excel, Word and Outlook experience required
Ø Typing using computer keyboards, 10-key pads and calculators
Ø Strong Computer/Software Skills
Ø Detail-oriented
Ø Typing speed of 35 wpm
Ø Occasional weekend work may be required
Ø Must be flexible to work on a night shift (between 6pm to 10am) Philippine Standard Time.
Ø Must be amenable to work on Overtime or during Rest Days when business requests for additional (paid) hours
**COMPETENCIES**:
Ø Internal - At least 1 years tenure in ACH Revenue Cycle
Ø External - 1 year of experience in Healthcare Insurance Collections and/or Correspondence
**Job Types**: Full-time, Permanent
**Salary**: Php25,000.00 per month
Schedule:
- 8 hour shift
- Night shift
**Experience**:
- healthcare claims insurance: 2 years (required)
- Customer Support: 2 years (required)
- US Healthcare Insurance Claims: 2 years (required)