RelianceUnited - a subsidiary of Unilab

HDSI: Customer Service Representative (Healthcare Account)

RelianceUnited - a subsidiary of Unilab  •  Mandaluyong, PH (Onsite)  •  21 days ago
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Job Description



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




RelianceUnited - a subsidiary of Unilab

About RelianceUnited - a subsidiary of Unilab

In line with its vision to provide customers Trusted Quality Healthcare and delivering better value to its partners and customers, United Laboratories (UNILAB), the leading Pharmaceutical company in the Philippines and South East Asia, established RelianceUnited.

RelianceUnited's mission is to deliver simpler and better outpatient healthcare solutions.​

RelianceUnited is a holding company of the following subsidiaries:

HealthFirst Clinic - A growing network of premier multi-specialty clinics offering convenient and quality out-patient health care services from pre-employment services, annual physical check-ups, executive health packages, dental services, to a comprehensive Women’s Health Center, An ambulatory surgical center that can do various outpatient procedures and Dialysis Centers.

Flexicare - A health benefit management company which has close to 20 years’ worth of experience in managing healthcare benefits as well as providing comprehensive industrial clinic services.

ActiveOne Health - A leading corporate clinic and wellness services management company in the Philippines, ActiveOne has been dedicated to offering premium health services to premium institutions.

Industry
Government & Public Safety
Company Size
51-200 employees
Headquarters
Mandaluyong City, PH
Year Founded
Unknown
Website
relianceunited.com
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