URGENT! HEALTHCARE ASSOCIATES - easy account for newbies

Sagility Philippines B.V. Branch Office; Bohol; On-site; PHP 180,000 - 240,000; Full time

Job summary

A leading healthcare support firm seeks a Healthcare Associate in Bohol, Philippines. The role involves handling inbound and outbound provider calls, addressing various queries regarding eligibility, benefits, and claims while providing exceptional customer service. Candidates should maintain professionalism and align with company policies and performance measures.

Responsibilities

• Handle inbound/outbound provider calls for voice support.
• Address queries from Providers regarding eligibility, benefits, and claims.
• Provide exceptional customer service to callers.
• Utilize and be familiar with current system functions, applications and enhancements.
• Additional responsibilities include development and training of self and co-workers.
• Suggest and share ideas for system improvements.
• Experiments with and accepts new ideas in a positive and timely manner.
• The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
• Provide exceptional customer service to callers over the phone.
• Maintain a high level of professionalism towards peers at all times.
• Abide by and be familiar with all the policies and procedures set forth by the client, the company and the program.
• Adhere to schedule and changes as advised by the Immediate Supervisor.
• Perform tasks in an efficient and effective manner with regard to the delivery of service requirements by the client, project or company.
• The above statements indicate the general nature of work and may include other duties as assigned.

Job description

Responsibilities

• Handle inbound/outbound provider calls for voice support.
• Address all queries from Providers (Eligibility and Benefits, claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the business.
• Understand the Account's Business Strategy and managed care direction.
• Utilize and be familiar with current system functions, applications and enhancements.
• Additional responsibilities include development and training of self and co-workers.
• Suggest and share ideas for system improvements.
• Experiments with and accepts new ideas in a positive and timely manner.
• The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
• Provide exceptional customer service to callers over the phone.
• Maintain a high level of professionalism towards peers at all times.
• Abide by and be familiar with all the policies and procedures set forth by the client, the company and the program.
• Adhere to schedule and changes as advised by the Immediate Supervisor.
• Perform tasks in an efficient and effective manner with regard to the delivery of service requirements by the client, project or company.
• The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned.