Healthcare Customer Service Associate (Philippines)
Core
Provide inbound and outbound customer service for US health insurance clients via call center operations, acting as a liaison between claims departments and providers.
Role type
Customer Service Associate (Call Center)
Builds
Customer support interactions and claims data resolution for health insurance plans
Domain
Health Insurance / Claims Operations
Deliverable
client delivery
Required skills
Healthcare claims operations experience, Call center experience, Medicare/Medicare Advantage knowledge, Plan benefits knowledge, MS Office (Word/Excel), Verbal communication, Written communication, Attention to detail, Problem-solving
Preferred skills
Knowledge of Medicare/Medicare Advantage plans
Responsibilities
Receive and respond to inbound phone calls, Respond to outbound phone call requests, Document calls in ticketing systems, Respond to customer inquiries within required timeframes, Act as liaison between claims department and providers, Research customer claims in payor systems, Ensure high level of customer service
Seniority
Entry to Mid-level, Hands-on IC