Taguig
20 hours ago
BPM Associate (Healthcare Voice)

The Customer Service Associate will provide exceptional customer service to customers via inbound Call Center Operations.

Duties/Responsibilities:

Receive and respond to inbound phone calls for customer assistance Respond to outbound phone call requests Document all calls in ticketing and tracking systems Respond to customer inquiries and provide data to customers within a required time frame Act as liaison between claims department and providers Research customer claims in the primary payor systems Ensure highest level of customer service on every call Perform other duties as assigned or necessary

Required Skills/Abilities:

High school degree required At least 1 year of relevant professional experience in healthcare claims operations or 1-2+ years of relevant experience in a Call Center environment Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10 an advantage Must be able to work with minimal supervision Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts Excellent verbal and written communication skills. Attention to detail and problem solving skills Proficiency with MS Office applications, especially Word and Excel Amenable to working nightshift
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