Eligibility Specialist Representative

4 weeks ago

Ortigas Pasig, Philippines VISAYA Full time
Responsibilities:

- Handle high volume of inbound/outbound calls for customers that need to be screened financially and medically for financial assistance.
- Uses company screening tool to determine customers eligibility for State and Federally funded programs.
- Conduct the appropriate application support based upon state or federal regulations. Facilitates the application process or directs the customer to the appropriate next step.
- Provide instruction or work directly with the customer or their appointment of representative to complete the appropriate application and acquire all necessary releases, signatures and supporting documents.
- Submit the application and supporting documentation to the appropriate institution in accordance with company protocol.
- Act as an advocate for the customer, but also serves as a liaison to other colleagues, client hospital personnel, and government agency staff in a collaborative effort to establish eligibility coverage for future or incurred medical expenses.
- Provide superior customer service and maintains a professional image.
- Meet or exceed established productivity, quality, and revenue metrics.

Requirements:

- At least six months of experience in a customer service role, interacting directly with customers either in-person or over the phone.
-Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
- Demonstrated experience communicating effectively with a customer and simplifying complex information.
- Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer.
- Experience with customer interactions that require live, accurate documentation of the encounter.
- Ability to handle sensitive information and maintain HIPAA compliance.
- Demonstrated ability to navigate Internet Explorer and Microsoft Office.
- Maintain acceptable attendance and schedule requirement
- Must be willing to report onsite in Ortigas.

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