Process Associate - Healthcare, Taguig

Qualifications:

• HS Graduate (Diploma or TOR required)
• Minimum 6 months of BPO (International) experience in Healthcare
• Strong communication skills and good work ethic
• Willing to work night shift, shifting schedule, and onsite setup
• Must be amenable to start ASAP

Job Description:

• Researches, resolves, and documents patient (and other clientele) inbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately.
• Answering Billing Concerns of the patients. This includes calls with insurance rep, attorney representatives and other patient's representatives and advocates
• Investigates payment status and determines ultimate patient financial responsibility.
• Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. Processing payment from the patients over the phone.
• Obtaining correct/updated insurance information to the patient. Includes adding the said insurance details to the PMS or escalating it over to AR Team to have it taken care of.
• Soft follow up on out-of-pocket cost to the patients processing payments over the phone
• Patient Collections
• Reconcile patient balance (insurance vs patient)
• Work with Accounts Receivable team for claim resubmission
• Setting up and managing payment plans
• Handling credit card disputes
• Collection Agency Collaboration
• Working collection agency patient disputes
• Uploading and maintaining patient accounts in collection agency software
• Bankruptcy
• Managing bankruptcy cases (Client Specific Protocol)
• Policies
• Work within guidance of Billing Compliance Plan
• Maintain and follow strict privacy, confidentiality, and safety protocols
• Comply with all government regulations around the following: HIPAA, OSHA, PCI DSS