Call Center Associate (Healthcare background)

HealthyBOS | A Knack RCM Company; Mabalacat; On-site; PHP 167,000 - 279,000; Full time

Job summary

HealthyBOS | A Knack RCM Company in Pampanga is seeking a motivated candidate for a patient services support role. Fresh graduates are encouraged to apply, with exposure to medical documentation, insurance verification, and call center interactions.

You will secure patient documents, review records, coordinate with providers and patients, and assist with pre-authorization and claims processing, using basic Windows tools and Excel.

Qualifications

• 0–6 months call center or BPO experience required.
• Proficiency with Windows, Word, Excel or similar software applications.
• Strong communication skills required.
• Experience with customer service databases.
• Strong analytical thinking and problem-solving abilities.
• Excellent organizational and time-management skills.
• Ability to identify challenges and suggest process improvements.
• Strong critical thinking and conflict resolution skills.

Responsibilities

• Secure patient documents from medical providers.
• Review patient records per guidelines.
• Retrieve and store patient documents to/from databases.
• Coordinate with medical staff for urgent needs.
• Coordinate with patients for immediate order-related needs.
• Verify insurance benefits and eligibility to ensure smooth claims.
• Process pre-authorization requirements as mandated by the insurance.
• Make calls to doctors' offices, insurance companies and patients as needed.
• Other duties as assigned.

Skills

Call center experience

BPO experience

Windows applications

Microsoft Word

Excel

Strong communication

Customer service databases

Analytical thinking

Problem-solving

Time management

Process improvement

Conflict resolution

Organizational skills

Job description

Job description:

\"Fresh Graduate are encourage to apply\"

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