The Truth Behind Healthcare Account | What They Don't Tell You | BPO Account Series | Metacom

if you're a newbie or a career shifter in a healthcare account in the bo industry and you're still clueless about how it works then this is for you because for today's video we'll be talking about what it's like working in a healthare account until the end of this one to prep yourself in handling a healthcare account in the BPO industry openings right now here at metacom L description box below once again this is Jamie and before we fully get into the video let me give you an overview about the things that we are going to talk about first off is of course we'll Define what is a healthare account followed by the application process ning graduate this training process what about agent under this account and most especially concerns agents under a healthcare account and lastly advantages and disadvantages in this account without further Ado let's get the video rolling so what is a healthcare account in the BPO context well this account refers to the management of various administrative and operational processes that's related to healthcare organizations so to further explain a healthcare account in the boo industry it can cover a wide range of services and RN and pH industry claims processing appointment scheduling medical transcription healthare analytics and customer support customer service Representatives while to add on that a healthcare account in the boo industry is a customer service program where an agent assist a healthcare insurance member or provider where their benefit or medical claims inquires so peeps when we say members ilze health insurance to visit their doctor get diagnosis or treatment for an illness or condition of course included insurance or health plan and when we say providers they are the people who are giving Medical Services like doctors private clinics or hospitals or anyone who renders a medical service to Health Care members now let's talk about your application process and of course under a healthare account well you might think that this account is for only those aspirants with a medical background well that is a myth to bust although a previews let's say nursing or medical related course is an advantage this account also hires people with different employment background MAA undergraduate or fresh graduate command so long as you meet the minimum requirement and pass the recruitment process and work under this field well just like any other job or BP accounts in healthcare account several test and assessments like typing test and customer service assessment so for typing test they might require a certain speed that's ideal to handle a healthare account because it doesn't have to be too fast usually 36 to 40 words per minute okay but if you're not still that confident typing skills well you can still definitely enhance and practice that by visiting typing test websites on your search engines while for customer service test expect questions that will Gat about ility to handle customer concerns or any particular concern of course now related to medical field and please keep in mind that the recruitment or application process may also involve a grammar or communication skills assessment and two interviews may happen the initial and final and once you pass your final interview you might sign a contract within the day and you will be asked to finish or complete the job requirements like medical exams prior to your training day if you're still worried or not yet that confident when it comes to interview or let's say your grammar and communication skills because we prepared a playlist for you here about the job interview guides and tips when it comes to your application what to expect during your training days in a healthcare account so whether you'll assist members or providers in this account the training usually has two parts and these are benefits and claims training and also heal system normally training lasts for 3 months yes it's quite long as compared to other accounts training duration you'll have more time to grasp and understand everything so to break down training process for the 3 months well the first week is alloted for your English 101 training this is a refresher confident when it comes to your English communication skills then it will be followed by benefits training which is usually around 3 weeks so one month and then the remaining two months usually alled claims training and actual taking of calls although yes you'll be encouraged to sound natural when taking calls during orical providers a clear and correct information our conversation also during training you'll also learn some tips on how to set proper expectations and how to ask proving questions to medical service providers or members when it is necessary well onep is that during your training duration make sure to take notes because it will help you familiarize yourself with the types of plans communication skills Healthcare agents well most likely the trainers in a healthcare account will teach you how a claim form should be filled out and they will teach you how to analyze a claims denial expain members or medical providers and chenging well at some point you might find a training overwhelming but you don't have to worry because secret notes Focus on your research skills and the rest you will definitely learn that and acquire that dependent learning curve so how does a typical work day look like as a healthcare account customer service representative customer service Representatives your main goal is to assist or cater the needs of your clients or customers either medical provider or members themselves so what you have to do is to assist them via phone call and most likely with them or conversation with with them with a small talk because it can definitely break the ice and from the very beginning or customer or medical provider even over the phone smooth conversation all throughout the call healthare accounts can support a wide range of services and you're likely to support these two main lines of business is the memb line Second is the provider line as an agent in a healthcare account there are times that you only need to check the eligibility of the member or covered health insurance but most of the time receive is about benefits and claims calls well it's a benefit call if a member or medical service provider inquires for medical services coverage like for example they will likely ask Health Services like checkups or diagnosis treatments and even and then then it's a claim call n man if they just want to verify the status of their claims or they just want to clarify why the service done was denied ands that agents are not the ones who decide whether a claim is approved or not well most of the time claims are already processed by the time members or medical providers and the job of the agent is to review why the claim was denied for a particular reason so that a member or a medical provider will know if they can still resubmit a claim or appeal for it in short agents will analyze the denial based on the patient plan relevant documents of the service and scan claim forms thus attention to details is a must met com section below usual as an agent under this account concerns usually while talking to your customers now let's discuss the usual concerns that are being encountered by Healthcare account agents well generally healthare accountb and career shifter friendly but just like any other accounts pros and cons and these are some of the challenges that you need to get ready for well complicated old claims well these are the types of claims that keep coming back because it's being denied for some reason is because pending prior approval some services or because of incomplete claim forms update up until now sometimes these types of claim can reach a level members or providers and that means agent deeper or browse through the claims history customers so asid or medical providers that's why an agent needs to learn when to file an escalation ticket or when to seek a higher support so that problematic old Claims can still be processed correctly regardless whether it's approved or still approve next is multiple resources well types of plans Health Care laws and the insurance Network are also needed to be explored from time to time separate links or tools for some major benefits like Dental or drug prescription it's a must for you to have your own method or strategy to organize this numerous medical resources so you can access them easily and third is blurry scan documents so when it comes to claims forms are usually scanned store and database of course I may access agent these scan copies are okay they still look like photocopied or better yet very CR medical providers next on our list is coordination of benefits call well when a member is covered by two health plans for example a child is Health insured or dependent both parents medical expenses using his primary Insurance secondary insurance and there are certain rules that apply to identify primary or secondary insurance and but you don't have to worry because the good news is of but it's okay to familiarize yourself as well on how it works Ty of call while you are on your ship while these challenges can also result in increased average handling time or ahd another concern but because the best technique is to make up by handling the easier calls or concerns faster and last but not the least and disadvantages as well under a healthare account well this Advantage Isel career shifter or advantages under a health account service why basic monthly salary usually agents under this account is at least 21,000 pesos and take note there are other B companies offer higher salary or monthly basic salary if you're already an experienced agent aside from that monthly incentives or programs and also there are various allowances like Transportation allowance rice allowance clothing allowance or on top of your monthly basic salary your salary can reach to 27,000 and above and aside from that Healthcare account is also considered as one of the most stable accounts in the boo industry and that's it for this video and I hope that it can help you get started with your journey as a healthcare account agent openings right now here at medom link description box below and fill out our online application form and we'll be more than happy to assist you with your application with us here at Medicom also don't forget to like share and subscribe to this channel thank you so much once again and see you in our next video [Music] bye

Channel: Metacom Careers

Views: 4,353

Keywords: healthcare account call center, healthcare account job description, healthcare account duties, what is healthcare account, healthcare account philippines, what is health care account, tips for healthcare account, healthcare account bpo hiring, call center healthcare account, bpo healthcare account, call center, call center interview, call center bpo, bpo interview, call center apply, metacom, metacom bpo, metacom call center, metacom company, metacom hiring, metacom careers

Id: nP-IF8bIhWA

Length: 14min 26sec (866 seconds)

Published: Fri Nov 10 2023