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Full-time Email Us Utilization Management Leads

at Asia Select, Inc. in Metro Manila

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Be one of the pioneers in a start-up healthcare insurance company in the Philippines, but one of the top in the United States!

Description: *Motivates and encourages Representatives while providing technical guidance *Provides quality control services such as call monitoring and conducts audits for subsequent performance *Understands specific workflow, processes, departmental priorities and guidelines. *Monitors daily phone activities to exceed standards and improve customer service levels. *Handles complex situations and ensures Reps are directed to the appropriate resources to resolve issues. *Assists management by identifying areas of improvement and recommends solutions. Keeps manager informed of changes or problems. *Obtains, analyzes and presents statistical information as it relates to units of work, productivity, FTEs at work and time off.

Qualifications: *At least high school graduate/college level *5 years related experience to include complex customer service or call center experience; medical terminology training; knowledge of health plans, including familiarity with prior authorization and precertification process *Ability to resolve diverse and complex inquiries through advanced analytical and problem solving skills *Excellent written and oral communication skills *Willing to work night-shift *Must be amenable to work in BGC



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Published at Mar 12, 2019
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