(RCM) at least 1 Year RCM healthcrae Exp in BPO 30k to 36k
Manila, National Capital Region
Posted today
- Company:
- GGIS Services
- Company Description:
- Job Description: Business Process Outsourcing (BPO) Specialist Position: BPO Specialist Location: [Makati city ] Reports To: BPO Manager/Team Leader Department: Operations/Customer Service About Us: [GGIS ]is a leading provider of business process outsourcing services, dedicated to delivering high-quality solutions to our clients. We specialize in customer support, technical assistance, and back-office operations, helping businesses enhance their efficiency and customer satisfaction. Job Summary: As a BPO Specialist, you will be responsible for managing and executing various business processes for our clients. You will handle customer inquiries, resolve issues, and provide exceptional service. The ideal candidate is a proactive problem-solver with excellent communication skills and a commitment to delivering top-notch service. Key Responsibilities: • Customer Support: Handle customer inquiries via phone, email, or chat, providing accurate and timely information. • Issue Resolution: Resolve customer issues and complaints efficiently, ensuring customer satisfaction. • Data Management: Maintain accurate and
- Contract Type:
- Full Time
- Experience Required:
- 2 years
- Education Level:
- Bachelor’s Degree
- Number of vacancies:
- 10
Job Description
We are seeking a skilled and detail-oriented RCM Specialist to join our team. The ideal candidate will bring expertise in healthcare billing, claims management, and accounts receivable, ensuring seamless revenue operations and exceptional provider support.
Key Responsibilities
Perform accounts receivable follow-up, denial management, and claim status verification.
Handle UB04 forms, facility claims, and professional claims (CMS 15,000).
Review contracts to resolve payment disputes (TPO disputes).
Collaborate with insurance payers for claim statuses and payment resolutions.
Coordinate benefits and provide detailed explanations of benefits (EOBs).
Ensure timely follow-up on undisputed claims and process payments accurately.
Oversee prior authorization and utilization review processes.
Qualifications
Proven experience working on the provider side (hospital-based).
Knowledge of HIPAA regulations, CPT codes, and ICD codes.
Strong understanding of medical billing processes and claims adjudication.
- Salary:
- ₱35,000.00 Monthly
