Company Description
Founded in 2003 by pioneers of the Philippine Global Sourcing industry, Pointwest provides world-class Digital Technology and BPM services to clients, including top Fortune 100 and local companies. With a Hall of Fame recognition from the International ICT Awards for Best Filipino-Owned Company, Pointwest excels across various sectors including financial services, healthcare, and public sector. The company transforms businesses with offerings in Data Analytics, Robotic Process Automation, Cyber Security, and more. Pointwest is proud of its strong international presence, providing IT and BPM excellence globally.
Responsibilities
- Update patient's medical records in the billing platform
- Prepare and submit billing data and medical claims to insurance companies, Medicare, Medicaid, and third-party payers
- Verify and ensure the accuracy of patient information, procedure codes and diagnosis codes
- Review supporting medical documentation before claim submission to ensure correctness, completeness, and compliance with payer requirements
- Resolve claim discrepancies, correct coding errors, and resubmit denied or rejected claims in a timely manner
- Communicate with patients regarding billing inquiries, outstanding balances, and available payment plans.
- Post payments from insurance companies and patients to the appropriate accounts
- Reconcile patient accounts, issue refunds as necessary, and ensure accurate financial reporting.
- Follow up on unpaid claims and accounts to minimize aging accounts receivable
- Assist lead or supervisor in orienting, training, and mentoring staff.
- Handle special projects as requested
Qualifications
- Nursing Graduate - but other courses is okay if with experience
- Medical Billing and Medical Coding experience
- Knowledge of patient record management and insurance verification
- Attention to detail and accuracy in processing claims
- Strong communication and liaison skills with healthcare providers
- Proficiency in healthcare software and electronic medical records (EMR)
- Ability to work independently and as part of a team
- Experience in a similar role is okay
