Customer Service Advisor - Bristol, England
Only for registered members Bristol, England, United Kingdom
1 month ago
* This salary range is an estimation made by beBee
Job summary
Are you looking for a rewarding career in the private medical industry? Do you have excellent customer service skills and a passion for helping people? If so, you might be the perfect fit for our Member Advisor role
Responsibilities
- 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
Job description
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