Essential Duties & Responsibilities:
- Print daily lockbox images and bank statement.
- Review insurance explanation of benefits and post payments to host system.
- Post payments, and ensures allowances, adjustments and write-offs are posted correctly.
- Post denial reasons and forward to follow up representative for further review.
- Process zero pay explanation of benefits and appropriate reasons for zero pay.
- Verify electronic remittances posted accurately.
- Process and post credit card payments.
- Investigate unidentified cash and resolve misdirected payments.
- Act cooperatively and responsibly with patients, visitors, co-workers, management and clients.
- Maintain a professional attitude.
- Maintain confidentiality at all times.
Internal Responsibilities:
- Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company’s governance/compliance program.
- Responsible for reporting violations of the company’s policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company’s Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts.
- Becomes knowledgeable of internal control responsibilities through training and instruction. Responsible and accountable for internal control performance within their area of responsibility. Participates in the internal controls self-assessment process.
- Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management.
Minimum Knowledge, Competencies & Qualifications:
- 2 years experience in healthcare customer service or insurance collections field.
- Strong knowledge of computer billing systems
- Ability to work well individually and in a team environment.
- Able to work in a professional, corporate setting.
- Experience working with customer support/client issue resolution management.
- Proficiency with MS Office.
- Excellent oral and written communication skills.
- Must be willing to work onsite in Ortigas, Pasig City
