Claims Specialist for US Healthcare Insurance
- Makati City, Metro Manila
- Permanent
- Full-time
- Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information.
- Following up on unpaid claims within the standard billing cycle timeframe.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Provides customer support through different communication channels (Phone, email, chat).
- Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
- Collaborate with colleagues and different departments to resolve complex issues
- Maintain accurate records on customer interactions, transaction, feedback, etc.
- At least 6 months BPO experience handling US Healthcare Insurance
- Experience with claims, denials, appeals
- Must have VOB (Verification of Benefits) experience
- Strong problem-solving skills
- Adaptability to a changing work environment
- Ability to remain calm under pressure
- Good verbal and written English skills
- Willing to work onsite in Makati
- Amenable working night shifts
- Competitive salary and benefits
- Health Insurance with free dependents*
- 10%-night differential
- Attendance Bonus
- Paid time off
- Convertible to cash leave credits
- Performance Appraisal
- Work-life balance
- A focus on growing your career path with us
- We encourage you to follow your passions and learn new skills
- Strong culture and values-driven leadership
- We create opportunities for you to learn and grow at any stage of your career
- Continuous learning and innovation
- We foster an all inclusive environment where everyone thrives