Monitors inbound calls from customers or health policyholders and distributors who are seeking pre-approval of health screening, dental, and other benefits on a health plan.
- Coordinates with third party administrator (TPA) ensure timely issuance of letters of guarantee
- Adheres to service standards of processing administrative requests.
- Sends out communications to customers, distributors requesting information for availment.
- Makes follow up telephone calls such as requesting scheduling of Health Screening with provider, provider's payments and outstanding bills.
- Ensures complete and accurate claim file documentation
- Maintains an understanding of the different client relationships and products
- Responsible for claim triage and distribution of claims multiple clients
- Sends out updated invoices and letters advising of the new/outstanding overpayments and monitors all claims with the collection
- Assist with department projects as needed
- Other duties and responsibilities as assigned.
**Job Qualifications**:
- College graduate of any 4-year medical course
- Five years experience with life and health claims
- Excellent telephone etiquette and good communication skills both written and verbal, with a pleasant and professional communication style with co-workers, clients, claimants, vendors and others
- Ability to initiate and prioritize regular work duties and small projects, ability to multitask, be detail oriented, organized and possess good time management skills
- Ability to work independently and as part of a team
- Good computer skills with basic skills in Excel, Word and Outlook
- Ability to use office equipment including photocopier and printer
- Good knowledge of life and medical claims processing
- Accurate data entry skills with a keyboarding speed of 40-45 wpm
- Willing to work onsite in Makati.
**Salary**: Up to Php20,000.00 per month
**Benefits**:
- Health insurance
- Life insurance
- Opportunities for promotion
- Paid training
- Promotion to permanent employee
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Supplemental Pay:
- 13th month salary
COVID-19 considerations:
Fully vaccinated