Answer calls and handles any queries from a health care provider, insurance/payer, and patient
Manage and resolve the complaint and escalate to supervisor/manager if needed
Able to provide good communication skill in English (both oral and written)
Responsible for daily care management and daily inpatient monitoring dor medical condition and expenses, and identify cases to be escalated to supervisor/manager/Medical Advisor
Guarantee insurance and online claim assessment
Complete all daily call log and daily inpatient monitoring log
Outbound calls activities to end-user for any follow up action if the queries/complaint has not been solve in 1st place
Managed time for work on shifts, guided by the manager on 24/7 service deliverable
Monitoring online transactions (claim) that haven't send to Halodoc by the healthcare provider and do the following on a weekly basis (admission, monitoring, discharge process cashless claim)
Monitoring premium service Halodoc
Requirements:
Candidate must possess at least a Diploma or Bachelor degree in Nursing, Pharmacy, Medical Record or other medical-related fields
At least 2 Years of working experience in healthcare, insurance, TPA, or related fields
Excellent knowledge of health insurance policy, health claims procedures, and terminology
Excellent knowledge of medical terminologies especially for treatment and surgeries
Computer literate
Good communication skill
Willing to work 24 hours shifting system
Halodoc