Patient support Executive

Job Description

• Primary Roles Responsibilities:
• Answer Incoming calls and also make outbound calls.
• Ensure that right patient is identified before disclosing information
• Listen to Customer queries and resolve and provide solutions, if unable to resolve, have the same escalated to the supervisors If Insurance query, respond appropriately, also obtain relevant missing info from the patient so that claim can be processed
• Understand and handle disputes
• Detailed Documentation
• Efficient Call Handling Time
• Potential Follow Up Methods Payment in Full and Partial Payment discussions
• Understand difference between dispute & objection
• Effective rate of speech
• good communication & neutral accent Obtain Insurance details from patients
• Obtain Additional Info
• Referral Information / PCP information, etc.
• Call for accidental Information like DOA Demographic details/ Mismatch in Name and DOB
• Update patient about their out-of-pocket expenses
• Obtain WC details, Injury Date COB Update/ABN/AOB pending
• Appointment Scheduling, Appointment Cancelation, Appointment Reminder Secondary Roles Responsibilities:
• Maintain professional decorum and punctuality
• Plan leaves well in advance
• Ensure good interpersonal relation is maintained while coordinating Compliance
• Ensure privacy and security in the operation and in the operation area that includes work from office and home.
• Ensure you have acknowledged all the Organizational policies as per HR Procedure
• Ensure you are attending the Compliance awareness and refresher sessions & other security training programs as per L&D Procedure
• Ensure you are aware of agreed SLA of the projects you are working.
• Follow all the Information security guidelines
• Report any Security & Privacy incidents to your reporting manager/ HR/Compliance Team/CISO
• Ensure Confidentiality, Integrity & Availability of Data/information you handle
• Adhere to the NDA & confidentiality Agreement
• Adhere to the Micro Company's CISO's roles & responsibilities if you are a Micro Company Compliance SPOC Skills:
• Must have 1 year Healthcare work experience
• Experience in Medical Billing
• Experience in RCM (clinical or non-clinical)
• Patient Provider Services Location: Ortigas, Pasig City (at the back of SM Mega Mall) 100% onsite Night shift