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Competencies
Demonstrated experience with Communication.
Demonstrated experience with Time Management.
Demonstrated experience with Point of Sale (POS).
Demonstrated experience with Customer Service.
Education
Languages
Experience
Customer Service Representative
Respond to customer inquiries and support requests via phone and email in a timely and professional manner., Facilitate outbound communications to customers if needed., Resolve inquiries efficiently and empathetically., Educate customers on online applications for claims and if what are the documents needed., Checking on eligibility and benefit for medical, dental & vision., Verify claim status if its paid, denied, in review or pended., Responsible to send back the claim to claim team if identified that the claim was processed incorrectly., Sending escalation email if needed especially if the claim past the TAT to expedite the process., Familiarity with healthcare authorization processes., If International/ outside US, responsible to request Guarantee of Payment or Authorization in behalf of the patient for the upcoming appointment., Communicate and coordinate with medical staff to ensure accurate information., Walk the member through the insurance website like on how to register, reset password, check digital card and list of in network provider etc., Sending Explanation of Benefit, Certificate of Coverage and Verification of Benefit via email if needed and requested.
L2 Associate
Answer and manage incoming calls --patient inquiries with professionalism and courtesy., Patient’s appointment scheduling., Facilitate outbound communications to customers for appointment confirmation., Insurance Verification., Utilizing tools such as Navinet and Availity.
Cashier
Knowledgeable in Point of Sale (POS) system., Physical Reward card processing for renewal and new members., Handling radio system, telephone and paging system., Fully aware in different types of mode of payment such as cash/ cash on delivery (COD), credit & debit card, check, voucher and online payment., Receiving orders via mobile app and order processing., Familiarity in Return/ Refund and Return/ Exchange.