Bill Review Associate IThe Bill Review Associate I is responsible for answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. An understanding of company computer systems, StrataWare, CompIQ and Call Track, is required to answer, return and manage calls. The primary function of the Provider Relations Representative is to provide prompt, courteous and professional Customer Service at all times.Key Responsibilities:Provide prompt, courteous and accurate customer service for all calls, with a solid understanding of worker’s compensation guidelines.Working knowledge of StrataWare/CompIQ, Call Track, and any client proprietary softwareUnderstanding of State rulings and regulations as relating to Workers’ Compensation.Understanding of medical bill processing rules and guidelines, including how to read Bill Review Logs.Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, phone message retrieval, and e-mails within 24 hours, etc.Processing medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned.Required Qualifications:Bachelor’s degree in a healthcare or business-related field, or equivalent experience.Minimum of one (1) year Customer Service experience (voice)Ability to learn ICD-9/ICD-10 and CPT/HCOC codingAbility to use Microsoft Windows-based softwareAbility to learn and apply basic medical terminologyExcellent oral and written English skillsAbility to assess and document reconsideration issues based on caller’s issueAbility to work in a team environmentCandidate must be available to work an 8-hour shift any time between 8:00 AM and 8:00 PM EST, Monday to Friday. Expected to work on Philippine holidays, but you will have U.S. holidays off.Preferred Qualifications:Two (2) years experience in Workers’ CompensationTwo (2) years experience in a medical settingSix (6) months experience in Bill Review DepartmentAll qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, or any other characteristic protected by law.Genfinity as an Equal Opportunity Employer, believes in each person’s potential, and we’ll help you achieve yours.All information will be kept confidential according to EEO guidelines.Privacy Notice & ConsentWe value your privacy. By submitting your information through this form, you are applying for a position at Genfinity Philippines, Inc. and voluntarily providing personal information, including your name, contact details, and resume.This information will be collected and processed solely for recruitment purposes, including evaluating your qualifications, assessing your skills, verifying your background, and contacting you about your application. Your personal data will be processed in accordance with the Data Privacy Act of 2012.You have the right to access, correct, or withdraw your data at any time. For more information, please refer to our Privacy Policy or contact our Data Protection Team at dpo@genfinity.net .By submitting this form, I acknowledge that I have read and understood the above Privacy Notice and hereby give my free, informed, and voluntary consent to the collection and processing of my personal information by Genfinity Philippines, Inc. for recruitment purposes.Powered by JazzHR
