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CSR - Eligibility Specialist

2 weeks ago

Dumaguete, Central Visayas, Philippines Peak Outsourcing, Inc. Full time $40,000 - $60,000 per year

Role and Responsibilities:


• Provide excellent customer service 100% of the time.


• Take note of insurance coverage for dental services and route all private insurance information to the appropriate clinic staff for verification indicating the date of the appointment.


• Verify eligibility using EDS or Insurance Portal.


• Communicate with office staff for concerns that need to be handled differently.


• Communicate with clients for concerns/questions to avoid errors.


• Any additional duties that may be assigned based on business needs.


• Responsible for calls required to verify eligibility when no electronic means are available.


• Create breakdowns in Dentrix


• Attaching appropriate insurance plans to subscriber and all dependents


• Merge duplicate family files or accounts while maintaining account details


• Send group messages to unconfirmed appointments


• Monitor SR Conversations to manually confirm appointments

Qualifications:


• High school graduate


• Communication skills


• At least 6 months of working experience as an insurance verification personnel, or working on a medical insurance program, or in a medical billing setting.


• Capacity to build a cohesive team


• Demonstrated ability to get along with people


• Capacity to present oneself professionally in public


• Good Communication skills


• Detailed oriented