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Careers & Job Opportunities

Patient Services Representative

Responsibilities:

  • Process and verify administrative and financial components of financial clearance including validation of
    insurance benefits, medical necessity, routine and complex pre-certification, prior-authorization, scheduling and
    pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
  • Obtain pre-certifications, authorizations, and referrals for upcoming appointments
  • Communicate recommended changes to schedules and care planning to ensure alignment with authorization
    requests and payor compliance
  • Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services
  • Effectively address issues and offer information and support to both patients and physicians concerning financial
    clearance matters
  • Process stat request prioritization
  • Verify demographic information

Qualifications:

  • High School Diploma or equivalent
  • 3+ years’ experience with patient registration in a hospital or physician office, directly with obtaining patient
    demographic and financial information, handling insurance verification and obtaining authorizations
  • Proficient with commercial and government insurance plans, payer networks, government resources
  • Proficient with medical and insurance terminology
  • Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to complex
    service issues.
  • Strong attention to detail and accuracy
  • Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to
    interact with peers, management, patients, client, and external agencies
  • Ability to work with a variety of stakeholders
  • Proficient in utilizing a variety of computer applications and software, including but not limited to Microsoft
    Office Suite, Internet Explorer, and other relevant programs
  • Proven track record in roles that involve managing multiple critical priorities, with a focus on delivering high quality results and meeting performance metrics
  • Must be willing to work onsite in Ortigas, Pasig City.

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