- Workplace
- Onsite
- Type
- Full-time
- Department
- Healthcare
- Experience
- 1+ years
- Education
- High School
- Source
- RecruiterFlow
Description
COMPANY OVERVIEW
Our client is an organization operating within the healthcare technology and services sector, focused on end to end Revenue Cycle Management. The company serves globally and is committed to delivering quality solutions, operational excellence, and sustainable business growth. Additional information about the organization will be shared with selected candidates at the appropriate stage of the recruitment process.
Location: Ortigas
Work Setup: Onsite, Night shift
Compensation: ₱33,000 package
KEY RESPONSIBILITIES
-
Claims Processing & Resolution
- Follow up on outstanding claims via phone, email, or online portals.
- Analyze and resolve claim discrepancies to prevent payment delays.
- Identify and correct medical billing errors.
- Process appeals with proper documentation and communication.
Billing & Account Management
- Maintain accurate records of underpayments, overpayments, and credit balances.
- Conduct research on payer-specific billing guidelines and policies.
- Adhere to timely filing deadlines and compliance standards.
Reporting & Compliance
- Track and report claim trends to minimize denials.
- Ensure compliance with HIPAA and data protection regulations.
- Maintain confidentiality and professionalism in all interactions.
Collaboration & Special Projects
- Work independently while coordinating with internal teams on claim resolutions.
- Provide support on special Accounts Receivable (A/R) projects as needed.
- Act courteously and professionally with patients, providers, and stakeholders.
REQUIRED QUALIFICATIONS
- Education: At least a high school graduate.
- Experience: Minimum 1 year of US Insurance Follow-Up (outbound) experience.
- Strong understanding of claims processing for providers (physicians and/or hospitals).
- Ability to explain EOBs, claims, and denials effectively.
- Communication: Above-average English communication skills.
- Work Setup: Must be willing to work onsite in Ortigas, Pasig.
- Schedule: US shift (9 PM – 5 AM) with fixed weekends off.
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ABOUT LENNOR METIER
Lennor Metier is a specialized executive search and professional recruitment firm helping organizations hire leadership, finance, accounting, human resources, sales, marketing, supply chain, operations, and business-critical talent.
EQUAL OPPORTUNITY STATEMENT
Lennor Metier is committed to fostering an inclusive and equitable recruitment process. All qualified applicants will receive consideration based on their qualifications, experience, capabilities, and business requirements.
DATA PRIVACY NOTICE
By submitting your application, you acknowledge that your personal information may be collected, processed, stored, and shared with authorized stakeholders solely for recruitment-related purposes in accordance with applicable data privacy laws and regulations.
Skills
Accounts ReceivableComplianceHIPAAR