Call Center Associate (Healthcare Background)

HealthyBOS | A Knack RCM Company; Iloilo City; Vor Ort; PHP 240.000 - 360.000; Vollzeit

Zusammenfassung

HealthyBOS | A Knack RCM Company is seeking a diligent professional for a data-driven support role in Iloilo. The candidate will secure and review patient documents, manage records in databases, and coordinate with providers and patients for timely requests.

The role emphasizes strong communication, analytical thinking, and problem solving to verify insurance eligibility and process pre-authorizations. On-site work in Iloilo City, with standard office hours.

Qualifikationen

• 0–6 months call center or BPO experience.
• Competent with Windows applications, Word and Excel.
• Strong communication skills are essential.
• Experience with customer service programs and databases.
• Demonstrated analytical thinking and sound judgment.
• Excellent organization and time management abilities.
• Ability to identify issues and suggest process improvements.
• Proven conflict resolution and critical thinking skills.

Aufgaben

• Secures patient documents from medical providers or their offices.
• Reviews patient records following a preset guideline.
• Retrieves and stores patient documents to and from databases.
• Coordinates with medical staff for urgent document requests.
• Coordinates with patients for urgent medical supply orders.
• Verifies insurance benefits and eligibility to ensure smooth claims.
• Processes pre-authorization requirements as mandated by insurance.
• Makes calls to doctors, insurers, and patients as needed.
• Performs other duties as assigned.

Kenntnisse

Call center experience

Communication skills

Analytical thinking

Problem solving

Time management

Organizational skills

Customer service mindset

Process improvement

Conflict resolution

Tools

Windows

Microsoft Word

Microsoft Excel

Jobbeschreibung

Job description:

Job Responsibility:

• Secures patient documents from medical providers or their offices
• Reviews patient records following a preset guideline
• Retrieves & stores patient documents to and from databases
• Coordinates with medical staff in providers’ offices for any urgent needs about document requests
• Coordinates with patients for any immediate needs concerning orders for medical supplies
• Verifies insurance benefits and eligibility via providers portal or by calling to ensure claims will be processed smoothly
• Process pre-authorization requirements as mandated by the insurance
• Make phone calls to doctor’s office, insurance companies and patients as necessary
• Other duties as assigned

Experience / Skills:

• At least 0 - 6 months Call center or BPO experience
• Knowledge of Windows application, Microsoft Word and Excel, or similar software applications, proficiency preferred
• Strong communication skills required
• Knowledge of customer service programs and databases
• Must demonstrate strong analytical thinking skills
• Should possess strong problem-solving skills and the ability to make sound judgment calls
• Superior organizational and time management skills
• Ability to identify challenges, underlying issues and make recommendations for process improvement
• Proficient in critical thinking skills, and conflict resolution