Bill Review Associate I (Cebu)
Bill Review Associate I (Cebu)
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1 Vacancy
Job Description
Bill Review Associate I
The Bill Review Associate I is responsible for answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. An understanding of company computer systems StrataWare CompIQ and Call Track is required to answer return and manage calls. The primary function of the Provider Relations Representative is to provide prompt courteous and professional Customer Service at all times.
Key Responsibilities:
Provide prompt courteous and accurate customer service for all calls with a solid understanding of workers compensation guidelines.
Working knowledge of StrataWare/CompIQ Call Track and any client proprietary software
Understanding of State rulings and regulations as relating to Workers Compensation.
Understanding of medical bill processing rules and guidelines including how to read Bill Review Logs.
Perform administrative tasks such as managing faxes resubmitting bills updating spreadsheets phone message retrieval and e-mails within 24 hours etc.
Processing medical bills coding or data entry with 98% accuracy during phone downtime or as assigned.
Required Qualifications:
Bachelors degree in a healthcare or business-related field or equivalent experience.
Minimum of one (1) year Customer Service experience (voice)or experience in medical billing or healthcare claims review.
Ability to learn ICD-9/ICD-10 and CPT/HCOC coding
Ability to use Microsoft Windows-based software
Ability to learn and apply basic medical terminology
Excellent oral and written English skills
Ability to assess and document reconsideration issues based on callers issue
Ability to work in a team environment
Minimum one (1) year of Customer Service experience (voice)
Candidate must be available to work an 8-hour shift any time between 8:00 AM and 8:00 PM EST Monday to Friday. Expected to work on Philippine holidays but you will have U.S. holidays off.
Preferred Qualifications:
Two (2) years experience in Workers Compensation
Two (2) years experience in a medical setting
Six (6) months experience in Bill Review Department
All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity sexual orientation national origin ethnicity age disability marital status or any other characteristic protected by law.
Genfinity as an Equal Opportunity Employer believes in each persons potential and well help you achieve yours.
All information will be kept confidential according to EEO guidelines.
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Required Experience:
Manager
Employment Type
Full-Time
