BPO Healthcare

Key Responsibilities:

• Manage collections for healthcare unpaid claims, interacting with customers to gather supporting data and resolve invoice discrepancies.
• Provide input to policies, systems, methods, and procedures for effective premium collection management.
• Educate customers on online applications for submitting claims and remitting payments.
• Monitor outstanding balances and take appropriate actions to ensure clients pay as billed.
• Prepare invoices and reconcile billing with accounts receivables.
• Perform quality assurance and audit of collection activities.
• Review contracts for payment disputes and verify claim status with insurance providers.
• Process claims payments and follow up on unpaid claims.
• Handle blended account processes including documents, emails, and calls.
• Perform tasks under moderate supervision, with higher-level tasks guided by supervisors.