Job Highlights:Excellent compensation and benefits packagePositive work enviro
nmentCulture of learning and caringJob Des
cription:
Convey Health Solutions is seeking Customer Service Representatives to join our Call Center Member Operations Team. We are recruiting talented individuals that are looking to join a fast paced and exciting organization.
Essential Duties and Responsibilities:
Updat
e account information such as billing options and changes of address or phone numbersEducate members on how the supplemental benefit works, including benefit amounts, and products available, and frequency of coverage.Identify member complaints and grievances and escalate according to client specific procedures.Assist health plan members with inquiries related to their benefits and/or orders placed.Process requests for items received from health plan members via mail or phone callLook up over-the-counter medicines on the formulary to verify if they are offered, and if a drug is not offered provide an explanation as to why.
Education and Experience:
Senior High School graduate or at least College levelMust have at least 6 mo
nths customer service experienceHigh school diploma or equivalentHealthcare and/or pharmacy industry experience a plusGood communications skillsGood computer skillsAbility to multitask
Other Requirements:
Willing to work on-site and in Mandaluyong City.Willing to work on night shift or other shifts as may be required.Must have valid NBI Clearance.
At Convey Health Solutions, we're experts in highly-compliant member enrollment, service and administration support (Medicare, Medicaid and Commercial / EGWP). For over a decade, we've managed very large-scale end-to-end health insurance processes for our business clients - from eligibility and enrollment processing to service, premium billing and payment processing, reconciliation and other related services.Careers - About UsMembers of the Convey Health Solutions team are solely focused on healthcare, and are committed to helping consumers understand the right things to do in support of their healthcare decision making.Together, we create better business results and better healthcare consumer experiences on behalf of our clients, which include leading health insurance companies and pharmacy benefit management firms.The Convey Health Solutions work environment is focused on bringing out the best in individuals and teams. As a high-growth company, we offer an environment of learning, caring, and support of personal goals. Every member of our team is an integral part of our mission to make the healthcare system better and more affordable for businesses and consumers.We are committed to attracting and retaining employees who share this dedication to serving others. Our employees are our greatest asset and our work ethic is geared toward attracting highly motivated individuals who will actively contribute to our progressive, fast-paced environment.