Customer Service Representative (Healthcare)

apartmentHCM Nexus Consulting Inc placeQuezon City calendar_month 

Job Description

Primary Responsibilities:

  • Data Verification: Conduct outbound calls to verify patient demographic details, eligibility for insurance, and benefits.
  • Medical Billing Follow-ups: Monitor unpaid insurance claims and pending appeals. Request necessary records or denial documentation to be faxed and update account information in the management system with comprehensive notes.
  • Document Management: Organize and maintain medical, demographic, and billing records, ensuring files are appropriately named and stored in internal systems.

Qualifications:

  • Strong customer service skills.
  • Proficiency in basic computer applications.
  • Adequate English communication skills.
  • High attention to detail.
  • At least 6 months of experience in customer service or outbound (non-sales) roles.

Key Performance Metrics:

  • Accuracy
  • Attendance
  • Reliability
  • Productivity

Work Schedule:

  • 12:30 AM to 9:30 AM (Tuesday to Saturday)
  • Schedule may be adjusted based on business requirements
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