HDSI: Customer Service Representative

3 days ago

Mandaluyong, Philippines ACTIVEONE HEALTH, INC. Full time

HDSI: Customer Service Representative (Healthcare Account) Join to apply for the HDSI: Customer Service Representative (Healthcare Account) role at ACTIVEONE HEALTH, INC. The Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members' requests, answer questions, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. S/he is set to be an additional headcount to cover the additional shift (11PM to 7AM) for the Flexicare Customer Service Team. Duties And Responsibilities Accept inbound calls from Flexicare members and accredited providers requesting for Letters of Authorization. Address member concerns related to their health benefit program. Ensure that LOA requests are 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 Bachelor’s Degree in medical field or any related degree. Having 2 years of solid working experience in TPA, HMO, insurance or insurance broker companies or BPO. Familiar with health insurance / HMO policies and coverages, preferred. 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. Organized, has strong attention to details, and can work with minimal supervision Proficiency in MS Office (Excel, Word, and PowerPoint) and/or G-Suite Tools. Work Set-Up Location: Greenfield District, Mandaluyong City Work Schedule: 11PM - 7:00AM; Hybrid (subject to change with management notice) Data Privacy Notice Pursuant to the Data Privacy Act of 2012 (R.A. 10173), its Implementing Rules and Regulations, and other issuances of the National Privacy Commission, RelianceCare Inc., its subsidiary or affiliate (such as ActiveOne Health, Inc., Health Delivery Systems, Inc.), or those operating under the names “Flexicare Benefit Solutions and Healthfirst Clinic,” commits to protect and keep the confidentiality, integrity, and availability of all personal data provided. It will only use personal information to process job applications. Any questions regarding the Company's privacy notice shall be directed to the Data Protection Officer at the emails: RCI - , ActiveOne - , or HDSI - I have read and understood the above Notice and hereby give my consent to collect and process my personal data. Seniority level Entry level Employment type Full-time Job function Other Industries Wellness and Fitness Services Referrals increase your chances of interviewing at ACTIVEONE HEALTH, INC. by 2x Get notified about new Customer Service Account Representative jobs in Mandaluyong, National Capital Region, Philippines . #J-18808-Ljbffr

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