Customer Service Specialist

1 week ago

Barcelona, Philippines beBeeCustomerService Full time $35,000 - $55,000
Key Role in Customer Satisfaction

The primary focus of this position is to ensure high-quality customer satisfaction by providing effective triage and care coordination services.

  • Manage the intake of members or admission/discharge information post notification.
  • Work with healthcare facilities and the clinical team to manage requests for services from members and/or providers.
  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles.
  • Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention.
  • Handle resolution/inquiries from members and/or providers.

This role requires efficiency, productivity and thoroughness when dealing with our members over the phone. A flexible schedule that includes evening hours is also required.

Required Qualifications:
  • High School Diploma or equivalent.
  • 1+ years of experience in customer service analyzing and solving customer problems.
  • Ability to create, edit, save and send documents utilizing Microsoft Word and Excel.
  • Ability to type and talk at the same time and navigate through multiple screens.

Preferred Qualifications:

  • Experience working within the healthcare industry and with healthcare insurance.
  • Experience working with Medicare and/or Medicaid Services.
  • Experience working in a metric-driven work environment.
  • Call center experience.
  • Knowledge of ICD-9 and CPT codes.
  • Clerical or administrative support background.

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