Deskripsi Pekerjaan
We are seeking a dedicated Claims & Call Center Specialist to join our dynamic team at Amanah Healthcare Facility Solutions. This role is pivotal in ensuring seamless healthcare claim processing and delivering exceptional customer experiences. You'll be the first point of contact for patients, healthcare providers, and insurance partners, resolving inquiries with professionalism and accuracy. Our ideal candidate thrives in fast-paced environments, combines healthcare expertise with customer service excellence, and contributes to our mission of making healthcare accessible for all. Join us to make a meaningful impact in Indonesia's healthcare landscape while growing your career in a supportive, innovative setting.
Tanggung Jawab
- Handle incoming/outbound calls regarding healthcare claims processing and eligibility verification
- Investigate and resolve claim discrepancies through systematic research and documentation
- Collaborate with medical providers to obtain necessary claim documentation
- Maintain accurate records of customer interactions and claim status updates
- Meet key performance metrics including call resolution time and customer satisfaction scores
- Stay current with healthcare insurance policies and regulatory requirements
- Escalate complex cases to senior team members with detailed analysis
Kualifikasi
- Minimum D3 degree in Nursing, Midwifery, or Health Insurance
- 1+ years of customer service or claims processing experience preferred
- Proficiency in Microsoft Office Suite and claim management systems
- Exceptional verbal communication skills in Bahasa Indonesia
- Strong analytical skills with attention to detail
- Ability to remain calm under pressure during high-volume interactions
- Basic understanding of healthcare terminology and insurance processes