BPO - Insurance Follow-up Representative | Healthcare (Onsite Reporting)

Do you have a knack for navigating the complexities of insurance claims? Are you an organized and detail-oriented multitasker? A tech-savvy capable of handling multiple financial databases with high accuracy? Familiar with the ins and outs of insurance systems, policies, and procedures?

Yes? Then, be our newest Insurance Follow-up Representative! You will help address account balances and correspondence from insurance carriers. You will also be the face of our streamlined customer service.

Ready to take up a new career challenge? Submit your CV now and maximize the perks of joining our people-first company!

How You Spend Your Eight Hours

• Reconcile FACS balance to the client system
• Ensure proper crediting in FACS for payments posted
• Use websites and other online resources to obtain the status of payment or denial from the insurance carrier
• When online resources are not available or do not provide the necessary information, call the insurance carrier to inquire about the status of payment or denial
• Input in FACS the outcome of the status check and decide the next step on the account based on outlined department and client-specific procedures
• Review correspondence, note accounts, and follow up as needed
• Verify that correspondence is sent to be scanned on the accounts for future reference
• Tie or untie accounts from the route to ensure they follow the proper workflow
• Use appropriate work queues and reports to prioritize work efforts, as directed by the Insurance Follow-up Manager
• Maintain quality customer service
• Develop and maintain professional relationships with insurance company representatives
• Maintain confidentiality at all times by adhering to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Support the mission and goals of our clients and the company

What You Must Possess

• Computer proficiency
• Ability to learn multiple databases
• Multitasking skills
• Organizational skills, attention to detail, and flexibility
• Ability to perform repeated tasks with a high level of accuracy
• Compliance with company and client-specific procedures for insurance follow-ups
• Working knowledge of HIPAA and Red Flag regulations
• Healthcare BPO experience (minimum of 6 months)

What You Shall Receive

• HMO coverage starts on Day 1, including free coverage for two dependents upon regularization
• VL/SL credits upon regularization
• Friendly and supportive work culture
• 13th-month pay and other Philippine-government-mandated benefits
• Non-taxable allowances
• Pay increases, performance bonuses, birthday gifts, and many more

What You Should Consider

• Full-time position
• Monday to Friday, night shift
• On-site work setup

Why Join Our Company

You look for a company whose senior management listens to what you are and aren't saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.