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Medical Health Care Specialist

  • Posted 16 hours ago
  • Be among the first 10 applicants

Job Description

Key Responsibilities

  • Handle inbound calls from members regarding healthcare benefits and services.
  • Assist members with eligibility and benefits verification.
  • Provide information regarding claims, coverage, and healthcare policies.
  • Handle pre-authorization/pre-certification inquiries when applicable.
  • Address member concerns professionally and provide appropriate solutions.
  • Document customer interactions and update account information accurately.
  • Follow healthcare account policies, procedures, and data privacy guidelines.
  • Coordinate with internal teams or healthcare providers when necessary.
  • Maintain excellent customer service and communication standards while handling a high volume of calls.

What We're Looking For

  • Excellent English communication skills.
  • At least 2 years of BPO experience, preferably in an international healthcare account.
  • Experience handling member services, benefits & eligibility, claims, or pre-authorization is an advantage.
  • Comfortable handling a voice-based customer service role.
  • Strong problem-solving, active listening, and multitasking skills.
  • College or Associate Graduate.
  • Willing to work on a shifting schedule and in a hybrid setup.

More Info

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About Company

Job ID: 153851191

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