Managing clinical and insurance pre-authorizations
Collaboration with providers and case management
The Contact Centre Clinical Executive is responsible for delivering efficient, accurate, and professional customer support through multiple communication channels, including phone calls, email, and other platforms
Job Summary
The Contact Centre Clinical Executive is responsible for delivering efficient, accurate, and professional customer support through multiple communication channels, including phone calls, email, and other platforms.
The role involves managing evacuation and ambulance requests, processing pre-authorization requests, and collaborating with providers and case management teams to manage admissions and discharges.
The incumbent will ensure adherence to Compliance, Anti-Money Laundering (AML), and Sanctions-related policies, including customer due diligence and escalation of potential breaches.
Matching Summary
The Contact Centre Clinical Executive is responsible for delivering efficient, accurate, and professional customer support through multiple communication channels, including phone calls, email, and other platforms.
Skills & Requirements
Must-have
Customer support via phone and email
Managing clinical and insurance pre-authorizations
Collaboration with providers and case management
Proficiency in contact centre systems
Adherence to AML and compliance policies
Nice-to-have
Problem solving and escalation skills
Attention to detail in documentation
Teamwork and collaboration
Customer service excellence
Communication skills
Key Requirements
Bachelor’s Degree or Diploma in Clinical Medicine or Nursing
Diploma or certification in Insurance proficiency
Knowledge of clinical guidelines and healthcare processes