Qualifications
· High school graduate with at least 2 years BPO voice experience
· 1st year college with at least 1 year BPO voice experience
· Completed 2 years in college with at least 6 months BPO voice experience
· College graduate with or without BPO experienc
Responsibilities:
Advocate for the member and/or caller by making the interaction hassle-free. Some examples would include contacting providers, pharmacies, or ancillary providers.
Compassionately own problems through to resolution on behalf of the member in real time or through a comprehensive and timely follow-up with the member.
Effectively ensures members are connected to appropriate specialists and/or enrolled in the correct programs, based on member's needs and eligibility.
Compassionately respond and resolve member service inquiries related to:
Pharmacy/Prescription benefits, eligibility and claims
Terminology and plan design
Home delivery billing inquiries
Correspondence requests
Accurately capture member grievances and file determination requests
Compassionately educate members about their benefits including:
Offer Next Best Actions on account and follow up appropriately
Maximizing the value of their plan benefits
Prior-authorization requests and status
Research complex issues across multiple applications and work with support resources to resolve customer issues
Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution, breaking barriers, compliance, customer follow-up, and attendance.
Provide compassion and maximize use of community
*Note: This is for a 4months contract.
Requirements
Minimum education level: Vocational
Language(s): English
Availability for travel: Yes
Availability for change of residence: Yes
Other Info
Work type
Casual
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V-call Center Link (vcclink), Inc.
About the company
V-call Center Link (vcclink), Inc. jobs
Metro Manila

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About the company
V-call Center Link (vcclink), Inc. jobs
Metro Manila