Healthcare Representative - Bgc, Taguig (With

**RESPONSIBILITIES**:
Ø Performs AR follow-up on assigned accounts taking into account Timely Filing Limits set by the payer.
Ø Submits adjustments or write-off requests for approval to resolve outstanding account balances.
Ø Submits medical record packets for submission to the payer for claims reprocessing, reconsideration or appeal requests.
Ø Receives inbound calls/ call backs from payers/insurances regarding accounts that they are actively working on.
Ø Resolves claim rejections accordingly in order to release a clean claim to the payer.
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 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

**Salary**: Php25,000.00 - Php28,000.00 per month

Schedule:

- 8 hour shift