Customer Care Associate- Helpline  

Responsible for prompt, accurate and effective handling of healthcare-related telephone inquiries and concerns.

• Handles explanation of benefits and limitations of coverage to members for inpatient and outpatient availments through calls, texts, and emails.
• Receives, attends to, and records telephone inquiries, concerns and feedbacks; elevates complex complaints from clients to immediate superior.
• Coordinates with Liaison officers and backroom staff in order to effectively address client concerns.
• Issues Letter of Authority/control number for hospital admissions and releases diagnostic control numbers for approved diagnostic procedures.
• Pouches outpatient forms to all providers Monitors, records data, and checks status, benefits and medical records of admitted patients.
• Monitors in-patient admissions in areas without liaison officers.

• College degree preferably Nursing or any medical related courses (Med Tech, Rad Tech, Physical therapy)
• Preferably with experience in HMO setting
• Excellent listening and oral communication skills
• Service orientation and relationship management skills
• Analytical skill
• Problem sensitivity
• Computer literate