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Healthcare Liaison and Support Specialist
1 month ago
We are seeking a skilled Healthcare Liaison and Support Specialist to join our team at Outsource Global Technologies Limited. As a key member of our client support team, you will be responsible for facilitating effective communication between customers and healthcare providers, ensuring seamless operations and delivering exceptional service.
Key Responsibilities:
- Customer Support
- Respond to customer inquiries regarding health insurance policies, coverage, and claim processes.
- Provide clear, accurate information about policy details, procedures, and benefit options to customers.
- Resolve customer issues promptly, with a focus on delivering a positive and efficient experience.
- Hospital Liaison
- Communicate with healthcare providers to verify claims, confirm eligibility, and approve treatments and medication in accordance with policy terms.
- Issue treatment and medication codes to hospitals and ensure correct processing and documentation.
- Act as the primary point of contact between hospitals and the insurer, facilitating smooth service provision for customers.
- Code Approval and Issuance
- Accurately process and approve treatment and medication codes per the guidelines provided by the health insurance client.
- Maintain a system for tracking issued codes, ensuring timely issuance, and updating relevant parties when necessary.
- Case Management and Reporting
- Manage individual customer cases, documenting key details of each interaction and maintaining comprehensive case files.
- Prepare regular reports on case resolutions, approvals, and any escalations to keep the insurance provider informed of ongoing operations.
- Identify and document patterns or recurring issues to enhance service improvement initiatives.
- Operational Support
- Utilize company-provided tools to log interactions, update case statuses, and manage customer and hospital data securely.
- Support the team in implementing best practices, ensuring compliance with company and client policies, and contributing to quality improvements.
The ideal candidate will possess a Bachelor's degree in a relevant field (e.g., healthcare administration, insurance, business, or a related discipline) and a minimum of 2 years' experience as a customer support specialist in a healthcare organization or hospital. Key skills include excellent verbal and written communication, strong organizational and problem-solving abilities, proficiency in customer management systems, and familiarity with case-tracking tools.
This is a challenging yet rewarding role that requires a high level of accuracy, attention to detail, and empathy. If you are a motivated and organized professional looking to make a meaningful impact in the healthcare industry, we encourage you to apply.
