Insurance / Claims Analysts - Start ASAP Cebu City
Cebu City, Cebu
Posted 3 days ago
- Company:
- Staff Outsourcing Solutions
- Company Description:
- Sound Connection/Staff Outsourcing Solutions specializes in hosting, setting up, and managing offshore business operations in the Philippines on behalf of our clients from all over the world. Through offshoring business processes, our clients drastically reduce operational costs, increase flexibility, expand the reach on their operations globally, meet the increasing demand, and provide quality solutions around the world. The unique services we cater to our client's needs adapt to their specific needs. Sound Connection/Staff Outsourcing Solutions has been flexible in offering services to different foreign business organizations, from small and medium-sized businesses to large multinational corporations. Sound Connection/Staff Outsourcing Solutions is proud to be an Equal Opportunity Employer. Sound Connection does not tolerate discrimination on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, sexual orientation, gender identity, or any other basis covered by the Labor Law of the Philippines.
- Contract Type:
- Full Time
- Experience Required:
- 1 year
- Education Level:
- Senior High School
- Number of vacancies:
- 45
Job Description
Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations.
Preferably with experience in inpatient or outpatient services.
Must know the basic insurance terms.
Knowledge in Medical Billing/Claims.
Experience in Revenue Cycle Management (or a part of) required.
The job will be a mix of insurance payment collections, reports generation and phone calls (only 10% calls, or maybe less!).
Basic knowledge in Word and Excel is required. Knowledge in Google sheet a plus.
JOB RESPONSIBILITIES:
- Follow-Up with Insurance Carriers via all mediums to determine reason for claims denial and work to resolve medical claims for payment.
- Research problem accounts to ensure accuracy
- Ability to resolve insurance denials and file appeals with government and commercial carriers.
- Analyze the unpaid medical claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
- Adheres to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements.
- Denial Management--analyzing and resolving denied claims. Investigate the reasons for denials, identify errors or discrepancies, and take corrective actions, such as submitting appeals
EXCITING PERKS for successful hires.
Earn 40k up to 65k per month
This is an office-based position located in Cebu Business Park.
Work hours will be US Eastern time. FIXED WEEKENDS OFF.
If you are interested please submit your updated resume to [email protected]
STAFF OUTSOURCING SOLUTIONS
- Salary:
- ₱50,000.00 Monthly
