healthcare advocate | Work from HomeSpoke

LOB: HealthcareSetup: Hybrid once in a week (Makati)Looking for our next team member for Healthcare Professionals!Are you ready to embark on an exciting new chapter in your career? Join our team and be a part of a company that values your contributions and encourages your professional growth! We offer a supportive work environment and opportunities to work on impactful projects. Take the next step in your career journey with us, apply today!About our company:We are a family whose primary focus is helping some of the world's most innovative startups scale. With four offices across the globe, our mission is to help rapidly growing businesses by creating a new type of outsourcing firm. One that prides itself on partnerships instead of being a service provider. Not only do we spend dozens of extra hours curating the employees on our teams to ensure the best cultural fit, but we also invest time and resources in training across verticals to help spur new ideas and build innovative processes and technology to ensure we're as efficient and creative as possible for our partners.There are no dead-end jobs as we are always learning and growing in our professional endeavors. Every member of the team comes in each day with a creative mindset. We ask ourselves, "How can we do what we do better? Let's turn the tables and think about how we can approach this issue differently." With this mindset, we've become the fastest growing outsource firm for high growth companies in the U.S. We truly believe that helping startups build better and more efficient businesses helps push society forward.We are a fair and equal opportunity employer everywhere we operate and are committed to providing the training and experience that will enable our staff to propel their careers to the next level.Position Summary:The Advocate will be responsible for resolving member inquiries regarding claims, coverage, plan details, eligibility, and authorizations, along with numerous additional insurance-related questions. The Advocate will be tasked with utilizing process flow documents, internal systems, and a ticketing system to address and solve member inquiries while proactively addressing additional potential service needs.The ideal candidate will have outstanding verbal and written communication skills, be highly organized, have excellent problem-solving skills, have a passion for serving others, and possess the ability to be empathetic while going above and beyond to ensure member satisfaction. The ability to adapt to change, be flexible, work within a team, and learn quickly are key to being successful in this role.Position Responsibilities:
Ensure customer satisfaction and provide professional grade customer support.
Maintaining a positive, empathetic, and professional attitude toward customers at all times.
Responding promptly to customer inquiries.
Resolve member claim, appeal, provider, benefit, cost, and other inquiries via phone, service platform, and/or email
Document resolution detail, member communications, and time to resolution via ticketing system
Communicate and collaborate with internal consultants and service team
Outreach to carriers and providers to obtain information and detail when needed
Navigate internal systems to obtain member, plan, and group specifics and implementation status
Advise members regarding plan selection based on member-specific and financial needs
Schedule provider appointments on member's behalf
Personal Competencies:
Demonstrated customer service soft skills
The ability to understand and "put yourself in the customer's shoes" when handling customer concerns.
Ability to work effectively as part of a Team.
Self-motivated and ability to meet tight deadlines with a high degree of accuracy.
Ability to multitask, prioritize, and manage time effectively.
Willingness to learn and master the products and services of our clients to ensure that you can provide reliable, accurate, effective, and efficient service to our customers.
Comfortable working with minimal supervision.
Customer orientation and ability to adapt/respond to different types of characters.
Strong problem-solving skills, and ability to closely follow detailed processes.
College Degree Holder preferred or should have finished at least 2nd year college.
Willing to work in Makati once in a week
Technical Qualifications:
Excellent written and verbal skills in English, including soft skills such as tone matching and empathy.
Proven customer support experience, preferably 3+ years of experience working with customer support healthcare and claims.
Be our next talent and apply now!
Spoke

Philippines
Permanent
Full-time