Flexicare

HDSI: Customer Service Representative (Healthcare Account)

Mandaluyong, Metro Manila
Work Type: Full Time
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Job Overview:
The Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members request, answer questions, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency.

This role will be hired under Health Delivery System, Inc. - a RelianceUnited company.


Duties and Responsibilities:
  • Accept inbound calls from Flexicare members and accredited providers requesting for Letter of Authorizations. Address member concerns related to their health benefit program.
  • Ensure that LOA request is issued within the members’ benefits based on their respective benefit matrixes, remaining limit and eligibility.
  • Conduct outbound calls as needed to assist with claim information or identify missing information.
  • Document all encounters in clear and concise logs.
  • Consistently meet individual performance standards/metrics.
  • Assist in other tasks that may be assigned.

Qualifications:
  • A Bachelor’s Degree in medical field or any related degree
  • At least 2 year(s) of solid working experience in the related field is required for this position.
  • With experience working in TPA, HMO, insurance or insurance broker companies or BPO
  • Ability to work on shifting schedules and extend beyond company operating hours when needed.
  • Amenable to work onsite as advised
  • Strong attention to detail.
  • Strong communication (written and oral) and interpersonal skills.
  • Familiar with health insurance / HMO policies and coverages, preferred.
  • Organized, has strong attention to details, and can work with minimal supervision




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Pre-screening Questions
Pursuant to the Data Privacy Act of 2012 (R.A. 10173), its Implementing Rules and Regulations, and other issuances of the National Privacy Commission, the RelianceCare Inc., OR it’s subsidiary or affiliate, such as ActiveOne Health, Inc., and Health Delivery Systems, Inc. (also doing business under the name and style of “Flexicare Benefit Solutions and Healthfirst Clinic”), whichever is applicable to this form, ("It" or "the Company", for brevity) commits to protect and keep the confidentiality, integrity, and availability of all personal data provided. It will only use personal information to process job applications. Any questions regarding the Company's privacy notice shall be coursed through Its Data Protection Officer at the following and applicable email addresses: RCI - [email protected], ActiveOne - [email protected], or HDSI - [email protected]