hes advo cateMedRisk Philippines

Our US-based Client -- a leading provider of managed physical medicine in the United States -- set up their first Philippine office in Mandaluyong last 2020. They are continuously expanding their services, and need experienced Healthcare BPO associates to be part of their team!
The HES Advocate acts as a liaison between the provider and adjuster/case manager, providing updates to the client on Workers' Compensation patients during physical medicine treatment. The role entails tracking patient progress from the Initial Evaluation to closure by obtaining relevant case updates from providers, maintaining the integrity of the case file and related documents, and communicating professionally and effectively with the customer.
PRIMARY DUTIES AND RESPONSIBILITIES
Manage claims and monitor case status by confirming patient attendance and obtaining treatment notes from network providers, and addressing any concerns regarding compliance
Properly update all case related data to the company's database/platform• Track and relay authorization to our providers as directed by the clients, with confirmations to the adjuster and Nurse Case Manager
Be responsive and knowledgeable regarding the client's unique needs and respond appropriately
Build approachable, professional relationships with providers and referring customers• Comply with HIPAA and URAC guidelines
QUALIFICATIONS
Must possess a college degree in any field (Nursing/PT/OT degree is a plus but not required)
Must have experience in BPO industry
Possess impeccable customer service skills with 1-2 years of experience
Experience with outbound calls preferred
Ability to multitask in a fast-paced environment
Detail orientated
Excellent verbal and written communication skills
Proficient in MS Outlook, Word and Excel and general computer literacy, working with dual screens
Time management and strong organizational skills required
Willing to work any assigned shift during a work week in Mandaluyong City
BENEFITS
Salary package up to Php 35,000/month (depending on work experience)
HMO Coverage up to Php 250,000 maximum benefit limit
Excellent work culture
Huge opportunity for growth with a leading US provider of Managed Physical Medicine with a growing presence in the Philippines
Preferably residing within Metro Manila only. Candidates in Cavite, Rizal, and Bulacan area are welcome to apply as long as they are amenable to report onsite in Rockwell Business Center Sheridan - South Tower, Sheridan St., Mandaluyong City
MedRisk Philippines

Mandaluyong City, Metro Manila
₱35,000 per month
Permanent
Full-time