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Billing Representative - Taguig (BGC)

Job Category:

BPO / KPO / Shared Services

Job Level:

Entry Level

Open Date:




Close date:


Client Industry:


Job Description and Qualification:

Be one of the pioneers of a newly set up shared services company based in the US.

Job Summary:

Responsible for processing accounts and working with designated payors to ensure proper reimbursement

Duties & Responsibilities:

  • Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
  • Participate and attend meetings, training seminars, and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor. Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues.

Required and Preferred Qualifications:

  • Preferred Experience but not required: 0-4 years of experience in Medical/Hospital Insurance-related collections
  • Required Education: High School diploma and/or equivalent education
  • Preferred Computer Applications: Intermediate technical skills including PC and MS Outlook
  • Ability to sit and work at a computer terminal for extended periods of time
  • Willing to work on a Night Shift
  • Good written and verbal communication skills
  • Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
  • Intermediate knowledge of CPT and ICD-9 codes
  • Intermediate knowledge of insurance collections and insurance terminology