HDSI: Customer Service Representative (Healthcare Account) at RelianceUnited

Mandaluyong, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

08 Feb, 26

Salary

0.0

Posted On

10 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Communication Skills, Interpersonal Skills, Attention to Detail, Health Insurance Knowledge, Problem Solving, Documentation, Organizational Skills

Industry

Health and Human Services

Description

Job Objective/Job Purpose: The Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members request, answer questions, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. This role will be hired under Health Delivery System, Inc. - a RelianceUnited company. Duties and Responsibilities: Accept inbound calls from Flexicare members and accredited providers requesting for Letter of Authorizations. Address member concerns related to their health benefit program. Ensure that LOA request is issued within the members’ benefits based on their respective benefit matrixes, remaining limit and eligibility. Conduct outbound calls as needed to assist with claim information or identify missing information. Document all encounters in clear and concise logs. Consistently meet individual performance standards/metrics. Assist in other tasks that may be assigned. Background and Qualifications: A Bachelor’s Degree in medical field or any related degree At least 2 year(s) of solid working experience in the related field is required for this position. With experience working in TPA, HMO, insurance or insurance broker companies or BPO Ability to work on shifting schedules and extend beyond company operating hours when needed. Amenable to work onsite as advised Strong attention to detail. Strong communication (written and oral) and interpersonal skills. Familiar with health insurance / HMO policies and coverages, preferred. Organized, has strong attention to details, and can work with minimal supervision Work Set-Up: Location: Greenfield District, Mandaluyong City Work Schedule: 8:00PM - 5:00PM upon entry; subject to shifting schedule upon management notice Visit the RelianceUnited Website here: https://tinyurl.com/ysjsn7ps Apply for other roles via RelianceUnited Careers: https://tinyurl.com/446sye6j

Responsibilities

The Customer Service Representative will act as a liaison, providing product and service information while addressing member concerns related to their health benefit program. They will also ensure that requests are processed accurately and efficiently.