Medical Billing Specialist
WHR Global Consulting is hiring a Full time Medical Billing Specialist role in Taguig, NCR. Apply now to be part of our team.
Job summary:
- Looking for candidates available to work:
- Monday: Evening
- Tuesday: Evening
- Wednesday: Evening
- Thursday: Evening
- Friday: Evening
- 1 year of relevant work experience required for this role
- Expected salary: ₱27,000 per month
WORK SET-UP: ONSITE
WORK SCHEDULE: NIGHT SHIFT
Qualifications:
- Minimum of 1 year of experience in medical billing, insurance claims, or a related field.
- Must have at least 6 months of BPO experience handling healthcare accounts
- Strong English proficiency, both verbal and written.
- Familiarity with healthcare regulations and industry guidelines.
- Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
- Detail-oriented and able to maintain accurate records.
- Ability to work independently while adhering to internal guidelines and procedures.
- Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
- Willing to start ASAP
Key Responsibilities:
- Outbound Calling:
○ Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
○ Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations.
○ Maintain professionalism and ensure clear communication during each call.- Data Categorization and Labeling:
○ Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
○ Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
○ Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.- Call Transcript Analysis:
○ Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
○ Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.
Benefits- Sign-on Bonus PHP 12,500.00
- Referral bonus PHP 6250 - for successful candidates from them
- 13th-month pay
- Government-mandated benefits (SSS, Pag-IBIG, and PhilHealth)
- HMO coverage, including dental benefits (with up to two dependents)
- Life insurance
- 12 days of annual leave
- 5 days of sick leave