Health Care Account-Call Center Agent
Synlink Recruitment Outsourcing Co. Inc.
Descripción del trabajo
Beneficios
Reconocimiento y Recompensas de Empleados
Incentivos
Beneficios Mandados del Gobierno
Fondo Pag-Ibig, Salud, SSS/GSIS
Seguro de salud y bienestar
HMO
- Member/Patient Interaction* Respond to inbound calls from members, patients, and healthcare providers regarding eligibility, benefits, claims status, and enrollment inquiries.* Clearly explain complex health plan terminology, including deductibles, co-pays, co-insurance, out-of-pocket maximums, and prior authorization requirements.
- Claims & Billing Support* Investigate and resolve claims disputes, billing discrepancies, and provider payment issues by liaising with internal departments.* Guide members through the process of selecting a primary care physician (PCP) or navigating the provider network.
- Data Confidentiality & Compliance* Strictly adhere to all HIPAA (Health Insurance
- Portability and Accountability Act) regulations and company data privacy policies when handling Protected Health Information (PHI).* Accurately and thoroughly document all inquiries, transactions, and resolutions in the CRM system, ensuring compliance records are maintained.
- Quality & Performance* Maintain high performance scores for Quality Assurance (QA) audits, specifically focusing on process accuracy and regulatory compliance.* Aim for a high First Call Resolution (FCR) rate while managing Average Handle Time (AHT) efficiently.
Scigee Bustillos
HR OfficerSynlink Recruitment Outsourcing Co. Inc.
Activo en tres días
Ubicación laboral
Market! Market!. McKinley Pkwy, Taguig, Metro Manila, Philippines
Publicado el 11 November 2025
Jobs similares
Ver másCall Center Agent
Work-1 Manpower Recruitment Services€288-361[Mensual]
En el sitio - TaguigNo se requiere ExpAlta/Senior High SchoolTiempo completo
Nhiel AburidoHR Officer
Now Hiring - Call Center Agent (Retail Account)
Metacom Business Process Outsourcing Solution Inc.€216-361[Mensual]
En el sitio - TaguigNo se requiere ExpAlta/Senior High SchoolTiempo completo
Ernesto CabahugHR Officer
Call Center Agent
Synlink Recruitment Outsourcing Co. Inc.€260-404[Mensual]
En el sitio - TaguigNo se requiere ExpAlta/Senior High SchoolTiempo completo
Veronica PeñaroyoHR Recruiter
Call Center Agent
Neksjob Philippines€216-433[Mensual]
En el sitio - TaguigNo se requiere ExpBaceleroTiempo completo
Hire NeksjobRecruiter
Call Center Agent
Lexie Staffing co.€288-361[Mensual]
En el sitio - TaguigNo se requiere ExpAlta/Senior High SchoolTiempo completo
Charmaine OrtegaTalent Acquisition
Synlink Recruitment Outsourcing Co. Inc.
No financiado / Ángel
<50 Empleados
Firma de Reclutamiento
View jobs hiring
Join Bossjob
Recordatorio de seguridad del jefe
Si la posición requiere que trabajes en el extranjero, por favor ten cuidado y ten cuidado con el fraude.
Si encuentras a un empleador que tiene las siguientes acciones durante tu búsqueda de empleo, por favor repórtalo inmediatamente
- retiene tu ID,
- requiere que usted proporcione una garantía o recoja la propiedad,
- le obliga a invertir o recaudar fondos.
- recauda beneficios ilícitos,
- u otras situaciones ilegales.