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Accounts Receivables Executive (PHRN/Life Sciences Customer Service Representative)

₱30,000 - 32,000 per month
1 Year or Less

Omega Healthcare Management Services Inc.

With Business Certificates
Established in 2003
1001-5000 Employees
7F Avenir Bldg., Across old BIR Office, Near Cebu IT Park, Archbishop Reyes Street, Lahug, Cebu City, Cebu
Total vacancies for this job title: 10
Posted On: September 23, 2021
Job ID: 388523

Details

OMEGA HEALTHCARE MANAGEMENT SERVICES INC.
 
Is currently looking for
 
ACCOUNTS RECEIVABLE EXECUTIVE (PHRN/Life Sciences Customer Service Representative) for a US HEALTHCARE ACCOUNT
 
Qualifications:
  • Candidates must possess a bachelor’s degree:
    • Graduate of Bachelor of Science in Nursing - PHRN
    • Life Science – MT, PT & etc.
  • 1–2 years of experience in BPO
  • Good process and project knowledge
  • Proficiency in MS office
  • Logical reasoning, attention to details and analytical skills
  • Good communication and presentation skills
Job Duties and Responsibilities:
  • Prioritize incoming authorization and referral requests according to queue urgency
  • Review patient’s clinical and chart documentation related to the service submitted by the provider’s office
  • Obtain and/or follow up on authorization and referral requests from the patient’s payer/s through any of the following methods—depending on the payer’s policy:
    • Perform outbound calls to payer’s authorization department
    • Access payer’s authorization online portal
    • Submit faxes to payer’s authorization department
  • Respond to payer’s clinical questions to be able to proceed with the authorization and referral requests
  • Obtain and/or follow up payer’s peer-to-peer review requirements and send them back to provider’s office for the actual initiation
  • Cater inbound calls from payers and perform necessary actions required for the task
  • Listen and review voicemail messages from payers then perform necessary actions required for the task
Required Skills:
  • Solid understanding of anatomy & physiology, including how body systems function and an understanding of disease processes
  • Comprehensive understanding of Medical Terminology
  • Prior experience in processing multispecialty authorizations including contact with payers
  • Experience in medical coding specially for Cardiac procedures
  • Experience with general computer software (Internet, Word, Outlook, PDF required)
  • Proficiency to learn new software programs quickly
  • Excellent customer service skills: communicates clearly and effectively
  • Excellent verbal and written communication skills
  • Professional and effective interaction skills with co-workers, clients, providers, and vendors
  • Proven ability to work well individually and as a team member
  • Strong attention to detail
  • Ability to follow company and account-specific standard operating procedures and policies
  • Ability to adapt to constantly changing environment
  • Ability to prioritize and organize multiple tasks by remaining focused and quality-driven at all tasks at hand
  • Ability to remain organized with multiple interruptions
  • Ability to make decisions independently without bypassing any company and account-specific standard operating procedures and policies
  • Ability to comfortably receive constructive feedback
Be part of an offshore provider of healthcare outsourcing services!
  • Competitive salary package
  • Health Insurance benefit plus 2 FREE dependents
  • Rewarding career and opportunities and a lot more!

How to Apply


Email your resume to jesseljane.lusarez@omegahms.com | wryle.angwas@omegahms.com

For more inquiries, send us an SMS at Moon - 09565513447 and Wryle - 09774733608

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