₱ 25000-28000 PHP / Monthly
Job Description
Answer Incoming calls and also make outbound calls
Ensure that right patient is identified before disclosing information
Listen to Customer queries and resolve and provide solutions, if unable to resolve, have the same escalated to the supervisors
If Insurance query, respond appropriately, also obtain relevant missing info from the patient so that claim can be processed
Understand and handle disputes
Detailed documentation
Efficient Call Handling Time
Potential Follow Up Methods
Payment in Full and Partial Payment discussions
Understand difference between dispute & objection
Effective rate of speech - good communication & neutral accent
Obtain Insurance details from patients
Obtain Additional Info - Referral Information / PCP information, etc.
Call for accidental Information like DOA
Demographic details/ Mismatch in Name and DOB
Update patient about their out of pocket expenses
Obtain WC details, Injury Date
COB Update/ABN/AOB pending
Appointment Scheduling
Appointment Cancelation
Appointment Reminder
Skills needed
1. Good voice and demonstrate professional demeanour via phone. Should possess a positive attitude, should be confident and be receptive.
2. Should be able to display empathy and when need be able to get into small conversation with the patient/subscriber to keep them engaged.
3. Ability to multi-task. Excellent analytical skills with understanding of health care claims processing.
4. Willingness to be a team player and show initiative where needed.