Manila - CSR - Eligibility and Benefits | Night Shift
Discover your 100% YOU with MicroSourcing!
Position: CSR - Eligibility and BenefitsLocation: Global One, Eastwood, Libis, QC, Work setup & shift: Onsite Setup- Mon-Fri | Night Shift
Why join MicroSourcing?
You'll have:
- Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses.
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
- Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
- Career Growth: Take advantage of opportunities for continuous learning and career advancement.
- Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.
Your role
As CSR - Eligibility and Benefits , you will:
Medicaid/Medi-Cal Verification- Completes insurance verification, eligibility and benefit determination process utilizing integrated electronic eligibility system and payer websites
- Identifies risk associated with coverage and benefit issues related to the services being requested for authorization and escalates issues to appropriate experts to address
- Prioritizes work assigned to them to ensure financial risk is minimized, and timely completion of eligibility and benefits verification is optimized, while meeting daily productivity measure goals
- Ensures appropriate reimbursement for services rendered through detailed and accurate eligibility and verification duties
- Ensures appropriate patient identification
- Collects accurate and thorough patient demographic data; utilizes patient registration items to document patient information
- Obtains insurance information and verifying eligibility and benefits; identifies expired health plans and medical groups
- 1-3 years relevant experience
- Experience using multiple computer systems efficiently
- Understands insurance and medical terminology
- Experience in a hospital or clinic environment, insurance company, managed care organization, or financial service setting
- Dermatology eligibility and benefits verification
- Identifying medical health plans and medical groups
- Documenting patient demographics
About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit https://www.microsourcing.com/
Terms & conditions apply.