Customer Service Representative-Healthcare Engagement Services
Job Code : REQ-014373
Muntinlupa City Fully OnsiteAbout Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
Education:
? Graduate of a Bachelor's Degree without experience
? Graduate of an Associate Degree (2-year vocational course) with 6 months customer service experience
? College Undergraduate / (completed 2 years) with 6 months customer service experience
Experience:
Must have successful completion of English language proficiency training and have current and valid certification documentation.
Mandatory Skills:
? Moderate communication skills, both written and verbal
? Moderate competency level in Customer Service Orientation.
? Computer/Digital Literacy such as Microsoft Office Suite, data entry, using multiple software applications simultaneously, strong geneal computer skills, and high comfort level in intranet/internet navigation.
? Job Knowledge
? Sense of Urgency
? Passion for Excellence
? Working in Teams/Interpersonal Skills
? Work Organization
? Product Knowledge
? Typing Skills
? Problem Solving
Roles & responsibilities:
? Handle inbound/outbound provider calls for voice support
? Address all queries from Providers (Eligibility and Benefits, Claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the businesss.
? Understand the Account's Business Strategy and managed care direction.
? Utilize and be familiar with current system functions, applications and enhancements.
? Additional responsibilities include development and training of self and co-workers.
? Suggest and shares ideas for systeme improvements.
? Experiments with and accepts new ideas in a positive and timely manner
? The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
? Provide exceptional customer service to callers over the phone.
? Maintain a high level of professionalism towards peers at all times.
? Abide by and be familiar with all the policies and procedures set forth by the client, the company and the program.
? Adhere to schedule and changes as advised by the Immediate Supervisor.
? Perform tasks in an efficient and effective manner with regard to the delivery of service requirements by the client, project or company.
The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned.
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