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Customer Service Advisor
Healix
Bristol, GBR
Full-time
Entry
Onsite
GBP 26000-28000 yearly / year
Discovered 2 days ago
Case Management System
Free
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Case Management System
Role Overview
AS MEMBER ADVISOR, YOU WILL BE INVOLVED IN:
• Taking calls from clients, providers and specified members in relation to initial and/or ongoing claims
• Obtaining medical evidence from providers to substantiate claims decision/treatment
• Dealing with queries in relation to clinical treatment or pre-authorisation requests
• Arranging care with the appropriate medical team/facility
• Ensuring treatment delivered is relevant and appropriate by monitoring ongoing treatment plans for members
• Negotiating provider fees within the Healix Reasonable and Customary fees, as part of cost containment for clients
• Ensuring all documents are correctly and accurately allocated on Case Management System
• Assisting the Case Managers with high cost claims where required
Key Skills for This Role
Case Management System
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Description
Do you have excellent customer service skills and a passion for helping people? Are you looking for a rewarding career in the private medical industry where your work can have a direct impact on people's lives? If so, you might be the perfect fit for our Member Advisor role!
As a Member Advisor you will be responsible for coordinating member treatment plans, liaising with all members of the healthcare team and the member, and ensuring that the member receives appropriate medical information and access to required medical services. This is a role where good customer service skills are key, and you are not required to have any medical qualifications.
PERSON SPECIFICATION
We are looking for an individual who can deliver great customer service and who has strong command of the English language, both verbal and written.
In addition, we are looking for:
Decision making skills and ability to use own initiative.
A diplomatic open style and approach, with excellent verbal and written communication.
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