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Local Healthcare Account/CSR/Alorica CubaoUrgent

Polaris
Local Healthcare Account/CSR/Alorica Cubao
PolarisJob Description
Description
A Local Healthcare CSR (Customer Service Representative) job description typically involves assisting patients, providers, and other stakeholders with healthcare-related inquiries and issues. Responsibilities include providing accurate information, resolving concerns, processing claims, and ensuring compliance with regulations
Here's a more detailed breakdown of a local healthcare CSR's duties:
Core Responsibilities:
- Handling Inquiries:
- Answering questions from patients, providers, and other stakeholders regarding healthcare services, benefits, eligibility, claims, and policies.
Providing Information:
Offering accurate and up-to-date information about healthcare services, procedures, and programs.
Claim Processing:
Managing and processing healthcare claims, including verifying eligibility and processing payments.
Customer Support:
Providing excellent customer service by resolving concerns and ensuring customer satisfaction.
Documentation:
Maintaining detailed records of interactions, claims, and service requests.
Confidentiality:
Ensuring compliance with healthcare regulations and maintaining patient confidentiality.
Escalation:
Identifying and escalating complex issues to appropriate personnel.
Patient Advocacy:
Serving as a frontline advocate for members, ensuring they receive accurate information and support regarding their benefits and plan options.
Utilizing Systems:
Using healthcare systems, such as EMRs, to access patient information, eligibility, and other relevant data.
Requirements
HIGH SCHOOL GRADUATE
SENIOR HIGH SCHOOL GRADUATE
COLLEGE GRADUATE / UNDERGRADUATE
0-6 Months Call Center Experience

Jhon Eric Castillo
Talent Acquisition Specialists Polaris
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