Customer Service RepresentativeLife and Health HMP, Inc.

LIFE AND HEALTH HMP, INC.
 
Is currently looking for:
 
CUSTOMER SERVICE REPRESENTATIVE
(Cebu City office)
 
Duties/Responsibilities:
Provide frontline services and give timely and accurate information on patient inquiries about clinic services, procedures, and HMO coverage and benefits. 
Generate LOA approvals for diagnostic examinations and consultation of patients. 
Attend phone calls, emails, and walk-in clients requesting LOA.
Acknowledge pre-authorizations for medical treatment for Outpatient and Emergent Cases in line with the member contract coverage.
Respond appropriately to inquiries from patients and healthcare providers regarding treatment, benefits and billings,, and coordinate the resolution of related problems.
Provide detailed information to patients, clinics, and hospitals regarding member benefits and limitations.
Transfer and escalate the calls to the appropriate department if needed.
Communicate effectively and professionally with patients, teammates, healthcare professionals, and the sales team by utilizing resources to resolve patient issues.
Ensure a positive customer experience by exhibiting a positive attitude and a pleasant and tactful style, and assisting all patients, families, and coworkers.
Elevate customer concerns to managers and supervisors as needed. 
Consistently meet and attain required Key Performance Indicators (KPIs).
Adhere to company policies and procedures.
Perform related tasks as may be assigned from time to time.
 
Education and Experience:
College Diploma or equivalent
Registered Nurse or any other medical-related field is an advantage.
Prior experience in healthcare setting and/or as a customer service specialist or equivalent, ideally within a similar setting.