• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers • Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission • Respond timely to emails and telephone messages as appropriate • Communicate issues to management, including payer, system, or escalated account issues • Participate and attend meetings as requested, training seminars and in-services to develop job knowledge • Serve and protect the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards • Enhance billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments • Update patient demographics/insurance information in appropriate systems • Monitor claims for missing information, authorization, and control numbers (ICN//DCN) • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems • Secure needed medical documentation required or requested by third party insurance carriers • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure • Utilize provider billing manuals to obtain billing guidelines and requirements • Import verification and escalation of import/export files • Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation • Resolve and research billing Rejections

Role Description We’re looking for a Support Specialist III, Imports to join our team in Manila. You will play a key role in onboarding new retailers to Lightspeed Retail by ensuring customer data is accurately formatted, validated, and imported into the platform. Working closely with Implementation Consultants, Support teams, and occasionally retailers, you will help deliver a smooth onboarding experience and ensure customers are set up for success from day one. This role requires strong attention to detail, excellent communication skills, and confidence working with large datasets and spreadsheets. You will leverage a range of internal tools to manage imports, troubleshoot data issues, and maintain high standards of data quality, becoming a subject matter expert in Lightspeed Retail data and onboarding processes. - Prepare retailer data by reviewing, cleaning, and formatting it to align with Lightspeed Retail requirements. - Identify and resolve data issues, communicating clearly with Implementation Consultants and retailers when needed. - Validate imports using internal tools, ensuring accuracy, completeness, and adherence to SLAs for go-live timelines. - Support retailers via Zendesk and Zoom, providing clear communication and data consultation where required. - Partner with Implementation Consultants to clarify requirements, timelines, and data expectations. - Contribute to continuous improvement by providing feedback on tools and automation to enhance import processes. - Learn and adapt to evolving data structures and import workflows as the platform develops. - Document processes and best practices to support team knowledge sharing and consistency. Qualifications - Exceptional English written communication skills. - Customer service or data-focused experience in a role that handles sensitive or PII data, such as banking, finance, or auditing. - Familiarity with Lightspeed Retail (X-Series, R-Series, or S-Series) or similar POS systems preferred. - Proven ability to work with large spreadsheets and knowledge of formulas and functions in Google Sheets or Excel (e.g., VLOOKUP, PIVOT TABLES, FILTER, JOIN, etc.). - Bonus: any experience with using or learning command-line tools, database browsers, or scripting languages is a plus. Benefits - Market-leading salary package. - Permanent work from home setup. - Coworking space available, if needed. - We follow the PH holidays! - Benefits you can enjoy from day one: - HMO for you and your 2 dependents (Maxicare). - 15 Vacation leaves. - 10 Sick leaves. - Government Mandated Benefits. - Food Allowance of 1000PHP per month. - Work from Home Allowance of 1000PHP per month. - Health and wellness benefit of 7500PHP per year. - Free access to Mental Health support and coaching services. - Opportunity to grow your career in a company that values internal mobility. - Exciting online and in-person events hosted regularly by our Manila Culture Club.

Role Description The Billing Specialist is responsible for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements. - Process third-party billing, claim resolution, and adjudication - Manage FFS and PPS billing - Conduct census balancing and payor verification - Verify insurance and Medicaid coverage - Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care - Assist with all customer billing inquiries in a courteous and professional manner - Enter fees and charges in Framework LTC - Prepare daily, weekly, and monthly pre-bills and account audits - Prepare daily, weekly, and monthly reports - Create statements and EOM summaries - Understand and work with residents on account balances - Follow all applicable government regulations including HIPAA - Other duties as deemed necessary by Billing Manager Qualifications - Able to read, write, speak, and understand the English language - Able to work in a fast-paced environment - Basic computer knowledge skills required - Basic math and analytical skills - Proficient in Microsoft Word, Excel, and Outlook required - Good organization/Attention to detail - Able to work at a moderate speed - Reliable - Problem solver - Able to work various shifts and days - Adaptability to an ever-changing environment Requirements - High School diploma or equivalent required - Two (2) years’ pharmacy billing experience required (long-term care preferred) - Framework LTC & General computer knowledge & 10-key Number Entry preferred - Knowledge of Sage preferred Physical Demands - May sit or stand seven (7) to ten (10) hours per day - The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk - May be necessary to work extended hours as needed - May lift and/or move up to 30 pounds - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role Benefits - Medical, Dental, and Vision insurance - 401 (k) (available for Part Time & Full Time EEs) - Company Paid Life insurance - Short-term and Long-term disability insurance - Tuition reimbursement - Personal Time Off (PTO) - Competitive pay with annual performance reviews and merit-based raises - Career growth potential - Annual on-site voluntary Flu Vaccines - Employee referral bonus program

Role Description Our ideal candidate is a self-starter who thrives in a fast-paced environment and possesses a strong dedication to client service. You must be highly organized, detail-oriented, and able to manage multiple client accounts simultaneously while maintaining high standards of quality and compliance. A proven ability to effectively communicate complex administrative and regulatory information to clients and internal partners is essential. The COBRA Employer Services Specialist is a crucial client-facing role responsible for managing the day-to-day COBRA administration for a portfolio of strategic employer groups and partners. This role serves as the primary point of contact, ensuring client satisfaction and retention by proactively addressing inquiries, managing escalations, and ensuring compliance with regulatory requirements. The Employer Services Specialist must possess a deep understanding of the client's business needs and benefit plan designs. Qualifications - Must be willing to work the following hours to include possible holidays and occasional overtime - Training hours - 8-4:30 CST - Schedule after training - 10:30 AM-7:00 PM CST - Experience with OnBase, COBRA Point and COBRA administration is a plus - Excellent computer skills and prior experience using web-based applications and desktop platforms for case management or client relations required - Ability to multi-task in fast pace environment - Demonstrated excellent customer service skills, including ability to de-escalate - Excellent verbal and written communication skills - Positive, professional attitude and phone etiquette - Attention to detail and ability to act as liaison between other teams in order to produce final resolution - Excellent analytical and organizational skills Requirements - Client Relationship Management: Proven ability to build and maintain strong, long-term professional relationships. - COBRA and Regulatory Knowledge: Strong foundational knowledge of COBRA regulations and a working understanding of HIPAA and HITECH, is highly desirable. - Technical Proficiency: Skilled in utilizing CRM tools (e.g., Salesforce), web-based applications, Google Suite and Microsoft 365. - Problem Solving & Analysis: Ability to quickly identify root causes, analyze complex client scenarios, and partner with internal teams for successful resolution. - Conflict Resolution: Demonstrated ability to de-escalate sensitive client issues professionally and effectively. Responsibilities include: - Oversees the day to day COBRA administration for employers and partners - Utilize CRM tool to document and review all client activity - Assist clients with billing questions, payments, and invoices - Respond to phone and email inquiries within Service Level Agreements (SLA) - Proactively identify potential issues by identifying the root cause issue resulting in a first contact resolution - Engage high value employers and partners with escalations by partnering with internal teams to provide successful outcomes - Provide necessary reporting for employer groups - Assist clients in completing their annual renewals by reviewing open enrollment guides and verify plan coverage, rates and carrier updates or changes met compliance and COBRA regulations - Act as liaison between client and IT technical and operational teams - Communicate with internal teams about changes in employer group plans to ensure group loyalty - Maintain weekly/biweekly 1:1 meeting with leadership to review and discuss coaching opportunities and professional development - Develop long term relationships with assigned clients to assist in increasing client satisfaction and ultimately increase client retention - Work with appropriate stakeholders on assigned clients to understand their business needs - Familiarity with employer group’s plan designs - Familiarity with employer groups file schedules - Maintain weekly touch base meeting cadence and agendas - Meets or exceeds all quality standards - Work to meet partner SLA’s - Ensure privacy according to HIPAA, HITECH, Red Flag Rules and other regulations - Other duties as assigned Benefits - Base pay range: $21.00 - $24.00 - This role is subject to an annual 5% Short-Term Incentive Plan (STIP) based on personal and company performance. - WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being, including: - Health, dental and vision insurances - Retirement savings plan - Paid time off - Health savings account - Flexible spending accounts - Life insurance - Disability insurance - Tuition reimbursement