Eligibility Specialist Representative - Ortigas, Pasig, Pilipinas - VISAYA

Paglalarawan

• Handle high volume of inbound/outbound calls for customers that need to be screened financially and medically for financial assistance.
• Uses company screening tool to determine customers eligibility for State and Federally funded programs.
• Conduct the appropriate application support based upon state or federal regulations. Facilitates the application process or directs the customer to the appropriate next step.
• Provide instruction or work directly with the customer or their appointment of representative to complete the appropriate application and acquire all necessary releases, signatures and supporting documents.
• Submit the application and supporting documentation to the appropriate institution in accordance with company protocol.
• Act as an advocate for the customer, but also serves as a liaison to other colleagues, client hospital personnel, and government agency staff in a collaborative effort to establish eligibility coverage for future or incurred medical expenses.
• Provide superior customer service and maintains a professional image.
• Meet or exceed established productivity, quality, and revenue metrics.

• At least six months of experience in a customer service role, interacting directly with customers either inperson or over the phone.
• Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievements of performance metrics.
• Demonstrated experience communicating effectively with a customer and simplifying complex information.
• Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer.
• Experience with customer interactions that require live, accurate documentation of the encounter.
• Ability to handle sensitive information and maintain HIPAA compliance.
• Demonstrated ability to navigate Internet Explorer and Microsoft Office.
• Maintain acceptable attendance and schedule requirement
• Must be willing to report onsite in Ortigas.