Healthcare
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      3. Healthcare

      What healthcare work happens in the Philippines

      List of roles and clients we support in the Healthcare industry

      Type of Company Type of position Role Headcount Primary Tasks                                                          
      Reproductive Medicine Clinic Medical Billing Medical Billing Specialist 1 Generate and create list of claims with errors to follow-up by the client                                                           
      Pediatric Dental Center Dental Billing Senior Team Member 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Medical Billing Company Medical Credentialing Medical Credentialing Specialist 2 Process payer applications and database maintenance, and carry out various credentialing processes                                                          
      Medical Credentialing Senior Team Member 1 Process payer applications and database maintenance, and carry out various credentialing processes                                                          
      Durable Medical Equipment Supplier Internal Support - Developer Power BI Developer 1 Running and sending reports, Power BI data management and dashboard development                                                          
      Medical Billing Medical Billing Specialist 4 Payment posting and secondary billing                                                          
      Opthalmology Practice Medical Billing Medical Billing Specialist 2 Payment posting and secondary billing                                                          
      Mobile Wound Care Company Customer Service Customer Service Associate 1 Serve as a scribe for wound care management - patient chart preparation, wound mesurements and diagnostics, and patient registration and scheduling                                                          
      Customer Service Senior Healthcare Support Specialist 2 Patient chart preparation, scribing assistance, patient registration and scheduling, and insurance verification                                                          
      Medical Billing Senior Medical Billing Specialist 1 Prior authorization, eligibility and dressing orders                                                          
      Durable Medical Equipment Supplier Customer Service Healthcare Support Specialist 3 2 Patient inquiry assistance, billing data entry, and handling reciept of orders from physicians                                                          
      Medical Billing Medical Billing Specialist 1 Insurance file maintenance, billing inquiry assistance, claims filing and submission, and prior authorization submission and follow-ups.                                                          
      Integrative Healthcare Provider Customer Service Healthcare Support Specialist 3 1 Insurance verification, prior authorization submission and follow-ups, managing patient appointments, and patient information maintenance                                                          
      Mobile Medical Service Provider Internal Support - Management Team Leader 2 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Internal Support - Reporting Analyst Financial Analyst 1 Analyzing financial data, preparing financial reports, forecasting future financial performance, monitoring financial trends, and providing recommendations to improve financial performance and profitability.                                                          
      Internal Support - Reporting Analyst Senior Financial Analyst 1 Analyzing financial data, preparing financial reports, forecasting future financial performance, monitoring financial trends, and providing recommendations to improve financial performance and profitability.                                                          
      Medical Billing Senior Medical Billing Specialist 6 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Specialized Eye Surgery Center Customer Service Professional Subject Matter Expert 1 Provide specialized knowledge and expertise in DLV team members, to inform decision-making and improve the quality of care provided to patients.                                                          
      Internal Support - Admin Virtual Concierge 2 Execute internal marketing and coordinate with the Director of Virtual Operations Management, drive excellence in patient satisfaction surveys, patient referrals, patient counseling, oversee execution of consultation days, and event calendar database management                                                          
      Internal Support - Admin Bilingual Operations Manager (Spanish) 1 Oversee day to day operations of the virtual concierge team, overall operations team management (goal setting, action plans, coaching, PIP management, etc), and sending weekly/monthly reports to the Director of Virtual Operations                                                          
      Internal Support - Admin Bilingual Virtual Concierge (Spanish) 2 Execute internal marketing and coordinate with the Director of Virtual Operations Management, drive excellence in patient satisfaction surveys, patient referrals, patient counseling, oversee execution of consultation days, and event calendar database management                                                          
      Medical Billing Medical Billing Specialist 1 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Medical Billing Senior Medical Billing Specialist 5 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Cosmetic Dental Center Dental Billing Senior Team Member 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Behavioral Health Clinic Medical Billing Senior Team Member 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Endodontic Dental Center Customer Service Customer Support Specialist 3 2 Patient appointment inquiries, patient account maintenance, chart preparation, and post-op calls                                                          
      Medical Billing Medical Billing Specialist 1 Eligibility verification, maintain and manage credentials, and payment posting                                                          
      Health Insurance Company Customer Service Customer Support Specialist 3 5 Responds to telephone inquiries on plan utilization, benefits, claims, and payments                                                          
      Customer Service Provider Relations Specialist 3 Works on inquiries/requests from providers and HWMG employees, and determining the appropriate provider relations team to assign if necessary.                                                          
      Dental Billing Dental Billing Specialist 1 Reviews  patient accounts and bills. Prepare and trasmit claims. Unpaid claims follow-up. Validate and verify eligibility of the patient's insurance. Secondary and tertiary billing. Co-pay collection, issue receipts, post payments and reconcile receipts.                                                          
      Medical Billing Claims Adjudicator 1 Process claims, and run third-party liability reports and other claim reports                                                          
      Medical Billing Medical Claims Specialist 1 Process claims, and run third-party liability reports and other claim reports                                                          
      Medical Credentialing Credentialing Specialist 2 Responsible for provider credentialing, physician license renewals, primary source verification, and records management                                                          
      Medical Credentialing Sr. Credentialing Specialist 2 Responsible for provider credentialing, physician license renewals, primary source verification, and records management                                                          
      Retina Specialty Practice Optometrist Virtual Optometrist 1 Assists the doctor in patient care, perform virtual workups, communicates with patients on follow-up care, surgeries, procedures, symptoms, and appointment schedules, interview patients and document histories,                                                          
      Medical Billing Company Internal Support - Management Team Leader 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Medical Billing Medical Billing Specialist 5 Reviews patient accounts and bills, prepare and transmit claims, validate and verify eligibility of insurance, secondary and tertiary insurance billing, co-pay collection, issue reciepts, post payments, and reconcile receipts                                                          
      Pediatric Dental Center Dental Billing Dental Billing Specialist 1 Verify patient insurance, post payments, claims audit and follow-ups, and schedule appointments                                                          
      Dental Billing Senior Team Member 2 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Credentialing Company Medical Credentialing Medical Credentialing Specialist 1 Obtain and verify credentialing documentation, complete and submit applications for providers to be credentialed, follow-up with payors to ensure timely completion of applications, maintain and monitor licenses and certifications of all assigned facility and practitioners, and ensure that they are accurate and in good standing                                                          
      In-Home Care Provider Internal Support - Human Resource HR Administrator 1 Post job roles to applicant tracking system, review new employee onboarding document for completeness, compile time and attendance, payroll, emergency communication for new employee. Complete benefits module for new employee, and adjust payroll and time and attendance for existing employee                                                          
      Medical Billing Medical Billing Specialist 1 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Medical Billing Senior Medical Billing Specialist 1 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Medical Billing Senior Team Member 1 Reviews and ensures accuracy of patient accounts and bills, follow-up on claims, identify and billing secondary or tertiary insurances, payment posting, patient data entry, bill inquiry assistance, outbound calls to outstanding accounts, and writing up refunds for overpayments.                                                          
      Specialty Pharmacy Customer Service Customer Support Specialist 2 1 Answer phone inquiries from patients. Establish new patient accounts. Medical billing data entry                                                          
      Customer Service Customer Support Specialist 3 3 Answer phone inquiries from patients. Establish new patient accounts. Medical billing data entry                                                          
      Customer Service Healthcare Support Specialist 5 Calls patients for refill delivery setup of SPRx medicines. Maintain accurate records from follow-up telephone calls. Ensures appropriate medical record accounts.                                                          
      Customer Service Healthcare Support Specialist 2 1 Calls patients for refill delivery setup of SPRx medicines. Maintain accurate records from follow-up telephone calls. Ensures appropriate medical record accounts.                                                          
      Customer Service Senior Healthcare Support Specialist 5 Calls patients for refill delivery setup of SPRx medicines. Maintain accurate records from follow-up telephone calls. Ensures appropriate medical record accounts.                                                          
      Customer Service Sr. Healthcare Support Specialist (RN) 1 Follow-up on prescriptions from doctors. Evaluates and assess nutrition status of patients. Works with dietitians to plan and initiate medical nutrition therapy for patients.                                                          
      Internal Support - Accounting Accounting Associate 1 Reconcile reports and AP vendor statements, post AP invoices, cash receipts, and accounts receivable collections, and maintains spreadsheets for the accounting department. Retreive daily bank transactions, credit cards and other daily reports from online sites. Reconcile POS daily reports. Monthly invoicing and end of month reports. Prepare and distribute various deposits and account receivable reports                                                          
      Internal Support - Accounting Financial Analyst 2 Determine cost of operations. Prepare reports and projections. Guides cost analysis. Identify and improve financial status.                                                          
      Internal Support - Accounting Senior Accountant 1 Overall reconciliation, analysis, and control of the accrual basis general ledger and the recordation of the subsidiaries' financial information on the accounting system. Manages Fixed Asset Systemm and maintains accounting systems necessary to prepare GAAP financial statements                                                          
      Internal Support - Management Team Leader 2 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for issue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Medical Billing Medical Billing Specialist 5 Process claims. Validate and verify eligibility of insurance. Resolve denial instances.                                                          
      Medical Billing Retail Billing Manager 1 Managing the billing and reimbursement process, ensuring compliance with insurance and regulatory requirements, overseeing the maintenance of accurate billing records and documentation, and collaborating with cross-functional teams to optimize billing processes and drive revenue growth.                                                          
      Medical Billing Retail Billing Specialist 2 Processing insurance claims, managing patient accounts, communicating with insurance providers and customers to resolve billing issues, ensuring timely and accurate billing, and maintaining accurate records of billing transactions.                                                          
      Medical Billing Senior Medical Billing Specialist 5 Process claims. Validate and verify eligibility of insurance. Resolve denial instances.                                                          
      Medical Billing Senior Team Member 3 Process claims. Validate and verify eligibility of insurance. Resolve denial instances.                                                          
      Cosmetic Dental Center Dental Billing Dental Billing Specialist 2 Reviews  patient accounts and bills. Prepare and transmit claims. Unpaid claims follow-up. Validate and verify eligibility of the patient's insurance. Secondary and tertiary billing. Co-pay collection, issue receipts, post payments and reconcile receipts.                                                          
      Internal Support - Management Team Leader 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for issue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      Medical Billing Medical Billing Specialist 3 Reviews  patient accounts and bills. Prepare and trasmit claims. Unpaid claims follow-up. Validate and verify eligibility of the patient's insurance. Secondary and tertiary billing. Co-pay collection, issue receipts, post payments and reconcile receipts.                                                          
      Specialized Hospital - Rehabilitation Customer Service Tier 2 Technical Support 1 Provides end user technical support and assistance for hardware, network and system application problems.                                                          
      Medical Billing Medical Billing Specialist 1 Validate and verify eligibility of insurance. Creates new patient accounts.                                                          
      Medical Credentialing Medical Credentialing Specialist 3 1 Obtain and verify credentialing documentation, complete and submit applications for providers to be credentialed, follow-up with payors to ensure timely completion of applications, maintain and monitor licenses and certifications of all assigned facility and practitioners, and ensure that they are accurate and in good standing                                                          
      Medical Billing Senior Team Member 1 Oversee team members and ensure responsibilities are performed accurately. Provide performance reports of team members. Serve as an escalation point for ssue resolution and client escalations. Manage effective internal and external client relationship. Exercise consistent judgment and discretion with work directly related to management policies and general operations of the business.                                                          
      In-Home Care Provider for Seniors Internal Support - Admin Executive Assistant 1 Under direct supervision of the owner and with input from the Director of Nursing where appropriate. Select, schedule, and coordinate caregivers based on assessment and care plan information for new and existing clients. Maintains appropriate gross profit margin for each case                                                          
      In-Home Care Provider Internal Support - Recruitment Talent Acquisition Specialist 1 Identifying and sourcing potential candidates, screening and interviewing candidates, managing the hiring process, and coordinating with hiring managers and cross-functional teams to ensure a positive candidate experience.                                                          
      Health Insurance Company Customer Service Provider Relations Specialist 1 Creates and maintains records of Providers and Facilities in the claim system                                                          
      Internal Support - Reporting Analyst Reporting Analyst 1 Manages master data and general reporting. Track any issues found in the reporting systems. Maintains client reports.                                                          
      Medical Billing Claims Adjudicator 4 Process claims, and run third-party liability reports and other claim reports                                                          
      Dental Association Management Dental Billing Senior Team Member 1 Reviews  patient accounts and bills. Prepare and trasmit claims. Unpaid claims follow-up. Validate and verify eligibility of the patient's insurance. Secondary and tertiary billing. Co-pay collection, issue receipts, post payments and reconcile receipts.                                                          
      Gastroenterology Center Customer Service Healthcare Support Specialist 1 Patient information and appoinment management                                                          
      Medicare Accountable Care Organization (ACO) Internal Support - Accounting Senior Accounting Associate 1 Prepares, records, verifies, analyzes and reports accounts payable transactions. Maintaining proper vendor files such as W9's and contracts. Process 1099's. AP clean up projects such as vendor account clean up and conversion to ERP.