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Healthcare Services Coordinator

1 week ago

Manila, National Capital Region, Philippines Private Advertiser Full time
Job Summary

We are seeking a skilled and detail-oriented Healthcare Services Coordinator to join our team at Private Advertiser. In this role, you will play a critical part in ensuring the smooth functioning of our Voice performance and have a direct impact on the efficiency of our overall team's processes.

Key Responsibilities:

  1. Review and Process Letters of Authorization (LOA): With minimal supervision, you will review, evaluate, and process LOAs following established procedures and professionally explain coverage and non-coverage details during member's availment.
  2. Analyze Escalations and Address Concerns: You will analyze escalations and address concerns related to internal and external partners regarding eligibility, coverage (professional fees, miscellaneous & etc.) and procedures within the standard turn-around time.
  3. Offer First-hand Solutions: You will offer first-hand solutions for captured complaints and endorse to internal departments (MRG, UEF, Sales) as necessary.
  4. Work with Immediate Superior: You will work directly with the immediate superior in meeting the team and company's common goal. Prepare and submit reports ensuring that data is accurate and comprehensive.
  5. Execute Various Campaigns: You can execute various campaigns and tasks as needed during manpower shortages, business continuity planning (BCP) events, or when service level agreements (SLA) for other teams or sub-units are critically low, ensuring operations remain smooth and responsive to immediate demands

Required Skills and Qualifications:

  • Strong Communication Skills: Strong verbal and written communication skills to explain coverage, handle inquiries, and liaise with various stakeholders effectively.
  • Customer Service Oriented: Focus on providing excellent service, including handling inquiries and complaints with professionalism and empathy. Understanding products and account's benefits and coverages.
  • Problem-Solving Abilities: Capacity to assess situations and escalate complex cases appropriately, while providing first-hand solutions when possible.
  • Organizational Skills and Technical Proficiency: Proficiency in managing multiple tasks, prioritizing effectively, and ensuring accurate documentation and filing of transactions. Experience with CRM systems (like Salesforce) and telephony systems (like Genesys) for managing customer interactions.
  • Adaptability: Willingness to adjust to changing circumstances, especially during business continuity planning or manpower shortages.
  • Confidentiality and Ethics: Commitment to maintaining patient confidentiality and adhering to ethical standards in all operations.