Healthcare Representative

2 days ago

Quezon City, National Capital Region, Philippines Unify CX Full time $45,000 - $60,000 per year

UnifyCX is looking for an extraordinary Healthcare Representative to join our motivated and ambitious team.

What Will You Do?

As a Healthcare Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers.

The Healthcare Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Healthcare Representative you are the primary source for issuing authorizations when eligible for services.

In this position you will:

  • Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
  • Issuing authorizations
  • Handling claim inquiries from providers and members
  • Communicate the correct information regarding accessibility, claims status and other calls of a service nature
  • Providing benefits information
  • Process customer claims according to established department policies and procedures
  • Checking voicemail boxes and handling customer/provider requests for:
  • I.D. cards
  • Authorizations
  • Customer Service questions and issues
  • Fulfill rapid call volume by handling the appropriate amount of incoming calls
  • Complete Provider Relations requests for service
  • Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
  • Partner with Sales and Provider Relations to meet and exceed customers' expectations
  • Provide excellent customer service and handle all customers in a professional and courteous manner
  • Other duties as assigned

Who You Are:

To be considered, candidates are expected to have the following:

Required Qualifications:

  • 1 year of Healthcare Account experience in a Customer Service role in a Call Center Setting
  • High school diploma or equivalent
  • Excellent customer service skills (friendly, courteous, and helpful)
  • Excellent interpersonal verbal and written communication skills
  • The ability to diffuse volatile situations, share information, and educate callers
  • Strong execution and follow-up skills
  • Goal-oriented with ability to meet production standards
  • Team orientation and ability to work effectively across functional areas

Preferred Qualifications:

  • Understanding of the health insurance or insurance industries
  • Accurate and efficient data entry skills
  • Strong analytical skill and ability to demonstrate good judgment
  • Ability to coordinate multiple tasks and projects
  • Skilled in dealing with all customers in an efficient and effective manner

Who We Are:

unifyCX is an emerging Global Business Process Outsourcing company with a strong presence in the U.S., Colombia, Dominican Republic, India, Jamaica, Honduras, and the Philippines. We provide personalized contact centers, business processing, and technology outsourcing solutions to clients worldwide. In nearly two decades, unifyCX has grown from a small team to a global organization with staff members all over the world dedicated to supporting our international clientele.

At unifyCX, we leverage advanced AI technologies to elevate the customer experience (CX) and drive operational efficiency for our clients. Our commitment to innovation positions us as a trusted partner, enabling businesses across industries to meet the evolving demands of a global market with agility and precision.

unifyCX is a certified minority-owned business and an EOE employer who welcomes diversity.

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