Manila - Healthcare Representative
Tenet Global Business Center, Inc. Manila Full-time
Responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.
Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the the following:
- Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
- Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
- Access payer websites and discern pertinent data to resolve accounts
- Utilize all available job aids provided for appropriateness in Patient Accounting processes
- Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
- Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
- Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
- Provide support for team members that may be absent or backlogged
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