Customer Service Representative | Healthcare Account | 28k - 33k package

Saint Gabrielle HR Solutions, Inc.

  • Pasig City, Metro Manila
  • ₱28,000-33,000 per month
  • Permanent
  • Full-time
  • 2 months ago
JOB DESCRIPTION OVERVIEW:The Customer Service Representative is primarily responsible for answering patient inquiries with exceptional customer service while maintaining positive patient relations.
  • Billing inquiries: Patients may call to inquire about their bills, ask for clarification on charges, or request an itemized bill.
  • Payment processing: Patients may call to make a payment, discuss payment options or payment plans, or set up automatic payments.
  • Insurance coverage: Patients may call to inquire about their insurance coverage or request that a claim be submitted to their insurance company by confirming updated insurance.
  • Claim denials or rejections: Patients may call to inquire about a claim that was denied or rejected by their insurance company and seek assistance in resolving the issue.
  • Prior authorization: Patients may call to inquire about prior authorization requirements for a specific treatment or procedure.
  • Collections: Patients may call to discuss overdue balances or outstanding bills and inquire about collection policies and procedures.
  • Refunds: Patients may call to inquire about a refund for overpayment or duplicate payment.
  • Medical records requests: Patients may call to request copies of their medical records.
  • Follow-up appointments: Patients may call to schedule follow-up appointments.
  • Insurance inquiries: Patients may call to ask questions about their insurance coverage or to confirm that the physician is in their network.
  • Appointment scheduling or rescheduling: Patients may call to schedule or reschedule an appointment with the physician.

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