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Spanish Bilingual Agent

₱30,000 - 60,000 per month
2 to 4 Years
High School Graduates are Welcome
With Business Certificates
Established in 1970
10,000+ Employees
Banilad, Cebu City, Cebu
Total vacancies for this job title: 5
Posted On: July 22, 2021
Job ID: 385404

Details

Responsibility:
  • Perform pre-call analysis of patient outstanding and check status by calling patients and responding patient calls with complete details towards closure
  • Maintain adequate documentation in the client software based on interaction with patients
  • Record after-call actions and perform post call analysis for the claim follow-up
  • Assess and resolve enquiries, requests and complaints attending a patient call to ensure that patient enquiries are resolved at first point of contact
  • Provide accurate claim information to patient, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making call
  • Perform analysis of outstanding data and understand the reasons for non-payment, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Skills:
  • Fluent communication abilities / call center expertise
  • Knowledge on Denials management and A/R fundamentals will be preferred
  • Willingness to work continuously in IST night shifts (US shift time)
  • Basic working knowledge of computers
  • Prior experience of working in RCM company and use of medical billing software will be considered as added advantage
  • Knowledge of Healthcare terminology and ICD/CPT codes
  • Ability to understand AR and Denials

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