Job Description
Role Purpose
The purpose of the role is to provide effective technical support to the process and actively resolve client issues directly or through timely escalation to meet process SLAs
Job Description
Inbound and outbound call handling
Access client PMS(s)
Customer inquiries, support, and issue resolution
Follow Patient Authentication guidelines as per HIPAA guidelines before providing any critical information
Address patient payments queries
Check open balance upon patient request
Provide predesigned discount offers if requested
Reconfirmation of payments made online
Resolve patient issue with making payments online
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Processing patient credit cards on secure online portal for patient payments to close their open bills
Transfer calls where payments cannot be taken online or follow agreed upon guidelines.
Roles & Responsibilities
Update PMS(s) pertaining to insurance or address change
Address patient statement related disputes
Other FAQs - any insurance or clinic related clarifications
Address any collection agency related corrections
Patient not wanting to coordinate with collections
Patient paid with proof of payment
Patient providing insurance information after collection agency communication
Collection agency calling with information request
Manage data collection from patient and upload into client PMS (including by not limited to death certificates, charity letters, insurance cards, attorney requests, proof of payments, etc. )
Ensure each account is appropriately updated with detailed memos/notes
Place any outbound calls where patients have left voice message / requested a call back
Work with onshore team in regard to attorney request calls coming in where patient data is requested and provide attorneys with assigned clients forms to be filled and updated.
Capability to be able to transfer calls to client for level II escalation reasons
Qualifications
Senior High School Graduate
High School (Old Curriculum) Completed 4 semesters in 2nd year college with no back subjects.
College Graduate or Associate Graduate.
Preferably with at least 6 months BPO experience and has some knowledge in Revenue Cycle Management
With good to excellent English communication skills
Good team player
Willing to learn and be trained
Willing to work in Tech Tower, Ayala Cebu Business Park
Mandatory Skills
Customer Service(Product&Service)
Additional Skills
Good communication skills -Grammar, Punctuation and Spellings (R, W, S)
Able to accept ownership for effectively solving customer (patient) issues, complaints and inquiries, keeping customer satisfaction at the core.
Good speaking skills over the telephone, Voice skills
Good writing and comprehension skills
Excellent interpersonal and customer service skills
Ability to explain Healthcare billing related issues to non healthcare and healthcare based employees and customers
Proficient with or the ability to quickly learn an array of process and product changes
Basic of MS office tools, outlook, internet
Basic working knowledge on computer
Highly self-motivated to deliver superior customer experience
High energy level and personal resilience
Integrity and desire to comply with all legal and moral standards
Service and quality oriented as well as customer focused
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Wipro is committed to creating an accessible, supportive, and inclusive workplace. Reasonable accommodation will be provided to all applicants including persons with disabilities, throughout the recruitment and selection process. Accommodations must be communicated in advance of the application, where possible, and will be reviewed on an individual basis. Wipro provides equal opportunities to all and values diversity.