Healthcare Associate (Project-Based)
- Taguig City, Metro Manila
- Permanent
- Full-time
- Receive and respond to inbound phone calls for customer assistance
- Respond to outbound phone call requests
- Document all calls in ticketing and tracking systems
- Respond to customer inquiries and provide data to customers within a required time frame
- Act as liaison between claims department and providers
- Research customer claims in the primary payor systems
- Ensure highest level of customer service on every call
- Perform other duties as assigned or necessary
- High school degree required
- At least 1 year of relevant professional experience in healthcare claims operations or 1-2+ years of relevant experience in a Call Center environment
- Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10 an advantage
- Must be able to work with minimal supervision
- Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts
- Excellent verbal and written communication skills.
- Attention to detail and problem solving skills
- Proficiency with MS Office applications, especially Word and Excel
- Amenable to working nightshift