Health Care Account-Call Center Agent
Synlink Recruitment Outsourcing Co. Inc.
Keterangan Kerja
Manfaat
Pengiktirafan dan Ganjaran Pekerja
Insentif
Faedah Mandat Kerajaan
Dana Pag-Ibig, Philhealth, SSS/GSIS
Insurans Kesihatan & Kesejahteraan
HMO
- Member/Patient Interaction* Respond to inbound calls from members, patients, and healthcare providers regarding eligibility, benefits, claims status, and enrollment inquiries.* Clearly explain complex health plan terminology, including deductibles, co-pays, co-insurance, out-of-pocket maximums, and prior authorization requirements.
- Claims & Billing Support* Investigate and resolve claims disputes, billing discrepancies, and provider payment issues by liaising with internal departments.* Guide members through the process of selecting a primary care physician (PCP) or navigating the provider network.
- Data Confidentiality & Compliance* Strictly adhere to all HIPAA (Health Insurance
- Portability and Accountability Act) regulations and company data privacy policies when handling Protected Health Information (PHI).* Accurately and thoroughly document all inquiries, transactions, and resolutions in the CRM system, ensuring compliance records are maintained.
- Quality & Performance* Maintain high performance scores for Quality Assurance (QA) audits, specifically focusing on process accuracy and regulatory compliance.* Aim for a high First Call Resolution (FCR) rate while managing Average Handle Time (AHT) efficiently.
Scigee Bustillos
HR OfficerSynlink Recruitment Outsourcing Co. Inc.
Lebih daripada sepuluh balasan hari ini
Tempat Bertugas
Market! Market!. McKinley Pkwy, Taguig, Metro Manila, Philippines
Disiarkan pada 11 November 2025
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Synlink Recruitment Outsourcing Co. Inc.
Tidak Dibiayai
<50 Pekerja
Firma Perekrutan
Lihat pengambilan kerja
Sertai Bossjob
Peringatan Keselamatan Bossjob
Jika jawatan memerlukan anda bekerja di luar negara, sila berhati-hati dan berhati-hati dengan penipuan.
Jika anda menemui majikan yang mempunyai tindakan berikut semasa pencarian kerja anda, sila laporkan segera
- menahan ID anda,
- menghendaki anda memberikan jaminan atau mengumpulkan sesuatu,
- memaksa anda untuk melabur atau mengumpul dana,
- mengumpul faedah haram,
- atau situasi haram yang lain.
