Job Components and Primary Responsibilities:
· Provide concierge and white-glove level service, removing burdens and providing end-to-end resolution for customers.
· Serve as a single point of contact for the customer and form a strong relationship to support them.
· Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member
· Research complex issues across multiple databases and work with support resources to own the resolution of all customer.
issues and anticipate their future healthcare needs or potential opportunities to improve the experience.
· Respond to and own consumer inquiries and issues.
· Conduct proactive research on assigned member accounts to identify service issues.
· Identify gaps in processes and work closely with other departments for process improvement.
· Provide education and status on previously submitted pre-authorizations or pre-determination requests.
· Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution and attendance.
Qualifications:
This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.
Required Qualifications:
· High School Diploma / GED (or higher) OR equivalent work experience
· Minimum of 3+ years of combined education, work and/or volunteer experience
Preferred Qualifications:
· Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
· Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
· Sales or account management experience.
· Customer Service Experience (min 6 months).
Job Type: Full-time
Pay: Php16,000.00 - Php25,000.00 per month
Benefits:

• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training

Supplemental Pay:

• 13th month salary
• Overtime pay

Education:

• Bachelor's (Preferred)