- Successful completion of Provider Call Center training,
- Active participation in continuous training,
- Follow required call scripts and QA requirements.
- Ability to handle high call volume.
-
Contact Center Associate
3 araw ang nakalipas
Collective Solution Philippines, Quezon City, Pilipinas Buong oraswith at least 6 months experience in BPO (Voice Account) · At least a Senior High Graduate. · Proficient in written and verbal English skills and strong client-facing communication ability. · Amenable to working in rotating shifts, · A passionate and proactive attitude toward tea ...
-
Call Center Associate
1 linggo ang nakalipas
NTT DATA Services Quezon City, Pilipinas Buong orasIn this Role you will be Responsible For · Communicate with contracted and non-contracted Providers by providing information and assistance as appropriate. · Assist Providers with interpreting Member eligibility and benefit information · Assist with general question about the exi ...
-
Call Center Senior Associate
3 araw ang nakalipas
NTT DATA Services Philippines, Quezon City, Pilipinas Buong orasIn this Role you will be Responsible For · Communicate with contracted and non-contracted Providers by providing information and assistance as appropriate. · Assist Providers with interpreting Member eligibility and benefit information · Assist with general question about the exi ...
-
Call Center Associate
1 linggo ang nakalipas
Meta BPO Taguig, Pilipinas Buong orasOB RESPONSIBILITIES:Respond to incoming calls promptly and professionally.Make outbound calls to follow up on inquiries and resolve issues.Identify and resolve customer concerns, escalating when necessary.Maintain accurate records of customer interactions.Stay informed about prod ...
-
Call Center Associate(Insurance Specialist)
1 linggo ang nakalipas
Meta BPO Muntinlupa, Pilipinas Buong orasJOB RESPONSIBILITIES:Respond to incoming calls promptly and professionally.Make outbound calls to follow up on inquiries and resolve issues.Identify and resolve customer concerns, escalating when necessary.Maintain accurate records of customer interactions.Stay informed about pro ...
-
finance associate
3 araw ang nakalipas
St. Luke's Medical Center Philippines, Quezon City, Pilipinas Buong orasCompany Description · St. Luke's Medical Center is the leading and most respected healthcare institution in the Philippines. With two world-class facilities in Quezon City and Global City, Taguig, St. Luke's provides top-notch medical services that are on par with the most advanc ...
-
Program Officer
3 araw ang nakalipas
Philippine Mental Health Association, Inc. Philippines, Quezon City, Pilipinas Buong orasGreetings The Philippine Mental Health Association is looking for a Program Officer for the Intervention Services of PMHA. · The Intervention Services Program Officer evaluates and monitors the cases of clients in the center and ensures that they are provided the intervention the ...
-
Get 21,000 Monthly
2 araw ang nakalipas
Foundever ™ Quezon City, Pilipinas Buong orasGo further with FoundeverTM · Are you ready to move your career forward? At FoundeverTM, you will find our call center jobs surprising. We believe in memorable associate experiences. Here, you can improve your quality of life and grow your career. · We believe that small momen ...
-
Up to 20K Monthly
5 araw ang nakalipas
Foundever ™ Quezon City, Pilipinas Buong orasGo further with FoundeverTM · Are you ready to move your career forward? At FoundeverTM, you will find our call center jobs surprising. We believe in memorable associate experiences. Here, you can improve your quality of life and grow your career. · We believe that small moment ...
-
Business Development Associate
3 araw ang nakalipas
Patona Philippines, Quezon City, Pilipinas Buong orasBUSINESS DEVELOPMENT ASSOCIATE/MANAGER · Hybrid (2 days onsite per week) · West Avenue, Quezon City · Start: ASAP · Salary: Open Budget · Job Overview: · We are seeking a dynamic and experienced Business Development Associate/Manager (BDA/BDM) with a proven track record in ...
-
Accounting Assistant
3 araw ang nakalipas
Microsourcing Philippines Inc Quezon City, Pilipinas Buong orasWith over 7,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. · Accounting Associate, be 100% YOU with MicroSourcing · An Accounting Associate is expected to: · Access the Company Credit C ...
-
Training Manager
3 araw ang nakalipas
AFNI Philippines Inc. Philippines, Quezon City, Pilipinas Buong orasTraining Manager · The Training Manager will plan, develop, and manage activities associated with the training and development of Consultants, Trainers, and management within a specified site. The incumbent will maintain a climate of customer-oriented service excellence by motiva ...
-
Training Manager Apprentice
3 araw ang nakalipas
Afni, Inc. Philippines, Quezon City, Pilipinas Buong oras· The Training Manager will plan, develop, and manage activities associated with the training and development of Consultants, Trainers, and management within a specified site. The incumbent will maintain a climate of customer-oriented service excellence by motivating and empower ...
-
Technical Support Agent
3 araw ang nakalipas
Neksjob Philippines Philippines, Quezon City, Pilipinas Buong orasAs a call center agent, you will be the first point of contact for customers, providing customer satisfaction and professional assistance and utilizing excellent communication skills. · Minimum Requirements · College / Associate Graduate or at least completed 2 years in college · ...
-
Payroll Associate
3 araw ang nakalipas
MicroSourcing Quezon City, Philippines, Pilipinas Buong orasWith over 7,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. · Payroll Associate, be 100% YOU with MicroSourcing · APayroll Associate is expected to perform the following tasks: · Key Respon ...
-
Sales Support Associate
3 araw ang nakalipas
MicroSourcing Philippines, Quezon City, Pilipinas Buong orasWith over 9,000 professionals across 11 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. · Sales Support Associate, be 100% YOU with MicroSourcing · A Sales Support Associate is expected to:Entering financial data int ...
-
Head of Collections
3 araw ang nakalipas
WNS Philippines, Quezon City, Pilipinas Buong orasJob Description · To deliver operational experience and excellence · Excellent people / Team Management skills. · Develop key metrics and reporting aids that accurately enable decision-making and improvement. · Be a key point of contact for whatever team you are managing you are ...
-
Application Developer-Experience Front End
3 araw ang nakalipas
IBM Solutions Delivery Quezon City, Manila, Pilipinas Buong orasIntroduction · In this role, you'll work in one of our IBM Consulting Client Innovation Centers (Delivery Centers), where we deliver deep technical and industry expertise to a wide range of public and private sector clients around the world. Our delivery centers offer our client ...
-
Marketing Associate
1 araw ang nakalipas
Acm business solutions inc. Quezon City, Pilipinas ContractHIRINGI'm looking for 20 Self-motivated Associates to join my marketing team.Job Title: Marketing AssociateCompany: 88 VIP Ventures Corp.Location: #42 Scout Bayoran, South Triangle, Quezon CityJoin our team as a Marketing Associate and unlock your earning potential in the world o ...
-
Sales Associate
3 araw ang nakalipas
Microsourcing Philippines Inc Quezon City, Pilipinas Buong orasWith over 8,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider. · Sales Associate, be 100% YOU with MicroSourcing · A Sales Associate is expected to: · Listen to clients' needs and present appr ...
Call Center Associate - Quezon City, Pilipinas - NTT DATA Services
Paglalarawan
In this Role you will be Responsible For
Communicate with contracted and non-contracted Providers by providing information and assistance as appropriate.
Assist Providers with interpreting Member eligibility and benefit information
Assist with general question about the existing Programs and Member benefits.
Assist with direction on the available Provider portal, including how to set up accounts, troubleshooting and navigating the website, how to submit and retrieve necessary information.
Handle claim status inquiries, researching and facilitating resolution of payment issues; provider education on remittance advice interpretation and reimbursement, and informing providers of the claims appeals process.
Work closely with the Claims Team in resolving claims discrepancies, inappropriate denials and delays in payments.
Provide providers with eligibility; process authorizations and Exception Requests
Answer questions regarding authorizations and denials
Meet NTT Call Center Standard Work and performance expectations. This includes, but is not limited to the following:
Provide excellent customer service to all callers. Demonstrate a high level of patience and respect with every caller, ensuring each caller is assisted promptly and appropriately and follow Provider Call Center established call handle Quality Assurance Standards and Objectives.
· Assist the Provider Call Center or Provider Services Departments with projects, as needed.
Timely follow up with Providers on cases as needed.
Ensure the privacy and security of PHI (Protected Health Information) as outlined policies and procedures relating to HIPAA compliance.
Key Skills:
Excellent customer service skills, including ability to diffuse difficult situations.
Ability to analyze complex claims data/payments and clearly communicate findings to Providers
University degree or equivalent that required formal studies of the English language.
1+ year(s) of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English.
1+ year(s) of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions
1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
1 + year(s) of healthcare call center experience working in a health care delivery setting preferred.
*** The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
*** All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material