USRN Nurse Ally - Customer Service Specialist | (Pasig|QC)

Foundever

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现场办公 - 巴石1-3 年經驗學歷不限全職
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職位描述

Go further with Foundever™

Are you ready to move your career forward? At Foundever™, you will find our call center jobs surprising. We believe in memorable associate experiences. Here, you can improve your quality of life and grow your career.

We believe that small moments can have a big impact on our work experiences, customers, teams, and friends. By creating positive moments for each other, we make a difference and improve our associate experience. 

 

Summary of Responsibilities:

  • Provide telephonic clinical support and education to members regarding healthcare options, benefits, and treatment plans.
  • Advocate for patients by assisting with care coordination, referrals, and navigating the healthcare system.
  • Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure the best patient outcomes.
  • Review medical records and assess the appropriateness of treatments based on established guidelines.
  • Maintain compliance with HIPAA and other regulatory requirements.
  • Document interactions and recommendations accurately in the system.

Qualifications:

  • Active USRN license (with or without a local PH license).
  • Minimum 6 months of clinical experience (hospital or telehealth experience preferred).
  • Strong communication and interpersonal skills to provide empathetic and effective patient support.
  • Ability to work in a fast-paced environment while maintaining high-quality service.
  • Experience with healthcare benefits, utilization management, or case management is a plus.

職位要求

Please refer to job description.

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HR ManagerFoundever

工作地址

One Julio Vargas Bldg. Eton Ortigas Home Depot Complex 1 Julio Vargas Ave. Brgy Ugong Pasig City

發布於 28 March 2025

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