As an Insurance Eligibility Specialist your mission will be to commit to the practice of delivering awesomeness and making people smile. You will assist customers through the insurance eligibility process of their smile journey. A critical part of this role is to collect accurate customer insurance information to ensure clear coverage expectations can be communicated to our customers. As part of the process you will be the customer s advocate as you interact with insurance companies to verify their insurance eligibility.
Key Responsibilities
- Responsible for verifications and accurate communications to customers and staff regarding insurance coverage.
- Ensures benefits are accurate and considered as part of the customer communication.
- Serves as a subject matter expert related to insurance and liaison between sales staff and customers to resolve any concerns and maintain a positive productive working relationship.
- Ensures all insurance related duties are completed in a timely and accurate manner to ensure excellent customer relations and financial success for the customer and other various operations functions.
- Achieves and maintains key performance indicators by effectively managing daily eligibility workload and planning and other various operation functions.
- Manages and assists designated sales/support team members with appropriate support regarding insurance processes.
- All other duties as required.
Requirements
Key Leadership Behaviors Typical Background
- Customer centric at the core
- Able to coach and assist the team
- High level of energy motivation and ability to work with the team to drive empowerment and confidence.
- Solutionsoriented successdriven approachable and compassionate.
- Calm under pressure. You think on your feet and when things change you know how to roll with the punches.
- Strategic problem solver who stays focused.
- You operate with a high sense of urgency.
- You communicate effectively. You are persuasive and an expert at navigating difficult conversations.
- Motivated resilient and take ownership. You have a calculated approach and practice critical thinking. You never point fingers.
Typical Background
- 12 years of medical or dental insurance experience
- Knowledge of federal and state regulations
- Accuracy and Organization are a must
- Strong capability with MS Office (Excel PowerPoint Word and Outlook)
- Understanding of ticketing systems and support channels including voice email chat text and messenger required.
- Familiarity with Five9 and Salesforce get bonus points.
- Exceptional communication and interpersonal skills and dedication to putting the team first
- Must be amenable to report onsite as needed
- Must be amenable to work 10 PM 7 AM Manila Time with Saturday and Sunday off
Benefits
WHAT WE OFFER:
Great Place to WorkCertified Company
Premium HMO
Holistic employee experience
Workfromhome and hybrid work setup
Monthly engagement activities
Paid referral program
2-3 years previous experience in customer service/healthcare-related programs Knowledge of medical terminology, insurance plans, and billing processes. Strong communication and interpersonal skills. Attention to detail and accuracy in data entry and documentation. Ability to handle confidential patient information with discretion. Proficient computer skills, including experience with electronic medical records and registration systems. Ability to work independently and collaboratively in a fast-paced environment. Must have Fiber Optic internet with at least 25 Mbps bandwidth Must have a backup desktop or laptop with the latest OS Must be able to work from 9PM to 6AM Manila Time Must be amenable to reporting to our Makati or BGC office