LOA Agent | Out-Patient | Makati Based
Medgate Philippines Inc.
Makati, NCR, Philippines
6d ago
source : Kalibrr, Inc.

Job Description

  • Handles and ensures that customer inquiries, services, and transactions pertaining to Out-Patient LOA issuance are delivered in a timely, accurate and efficient manner to achieve client satisfaction.
  • Fully understands and follows protocols, procedures, policies, and guidelines relative to LOA issuance meeting Medgate standards.
  • Prompt and accurate issuance of OP LOA approval codes to clients for OP consultations, laboratory, and other diagnostic procedures.
  • Handles inquiries, requests, complaints, policy status queries via inbound and outbound calls, emails, and mobile apps.
  • Does the verification of patients’ enrolment and policy status and coverage.
  • Notes down patients’ reason for LOA issuance.
  • Transfers call to Generali Alarm Center for complex issues that are beyond the jurisdiction of Medgate LOA issuance team.
  • Responds to simple issues / complaints and escalates complex LOA issuance concerns to the OP LOA Team Leader if necessary.
  • Knowledgeable and fully understands the insurance product features, benefits and exclusions.
  • Knowledgeable and fully capable of utilizing telephony principles and techniques, office equipment and software, to effectively perform the tasks assigned.
  • Familiarity with medical terminology, medical benefits, and claims the availment procedures.
  • Acquires and practices professional communication skills to effectively communicate and handle customers including irate and difficult ones.
  • Collaborates with other team members, encouraging harmonious working relationships to effectively achieve the goals of the team.
  • Minimum Qualifications

  • Bachelor's Degree graduate of any Medical Allied Courses
  • At least one (1) year work experience in a Hospital / Clinic / Diagnostic Center / Customer Service, but not required.
  • Good written and verbal communication skills (clear and articulate)
  • Excellent customer service and attention to detail skills
  • Computer literate
  • Apply
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