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

Foundever

Negotiable
On-site - Pasig1-3 Yrs ExpEdu not requiredFull-time
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Job Description

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.

Requirements

Please refer to job description.

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Boss

HR ManagerFoundever

Working Location

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

Posted on 28 March 2025

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