HMO Customer Service Associate

Position: Customer Advocate (Makati site)

Duties and Responsibilities:

• Responsible for delivering best-in-class customer service to PhilCare Members at all times.
• Issue Letters of Authorization (LOA) to PhilCare Members within the set turnaround time (TAT) based on the authorized limit and PhilCare’s utilization management guidelines and protocols through the PhilCare dedicated email account.
• Handles, within the set turnaround time (TAT), various queries and concerns of PhilCare Members, including reimbursement, benefit plan, provider accreditation, status verification, and others captured through the PhilCare dedicated email account.
• Coordinates with other divisions or departments on concerns related to service issues and LOA requests from PhilCare Members.
• Resolves PhilCare Members’ availment concerns or service issues to proactively avert complaints.
• Addresses PhilCare Members’ complaints within the authorized level; otherwise, escalates to the immediate head.
• Other tasks that may be assigned by the Department and Division heads, from time to time.

Qualifications:

• Graduate of any medical allied course
• Not required, but call center or HMO experience is an advantage
• Client Orientation, Communication, and Customer Service
• Comprehensive knowledge of medical terminology, medical conditions, and procedures
• Interaction skills; ready to use MS Office Applications
• Customer Service skills; Attention to detail; Critical-Thinking skills; Analytical skills; Verbal and Written skills

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php20,000.00 per month

Benefits:

• Health insurance
• Life insurance

Ability to commute/relocate:

• Makati: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is your expected salary?
• Have you completed a four-year college degree? Please state your course.
• What is your expected monthly salary? (Max offer: 20k)

Work Location: In person