Students and graduates of the University of Georgia have the opportunity to apply for a Medical Assistance Operator position at one of the insurance companies operating in Georgia.
Main Duties and Responsibilities
- Answering incoming calls to the hotline in accordance with established standards and providing appropriate customer service;
- Providing existing and potential clients with information about insurance terms and conditions within the scope of one's competence;
- Providing instructions on how to claim insurance reimbursement, taking contractual terms and conditions into account;
- Registering requests for medical services made by insured individuals at the insurer's provider clinics (guarantee letters, referrals, and reimbursement claims), providing information in accordance with insurance terms and conditions, and electronically registering such requests when necessary;
- Providing and receiving information regarding matters requiring prior authorization, within the scope of one's competence;
- Receiving notifications about claims, forwarding relevant information to authorized departments or individuals, recording cases in the IBF software system, and electronically forwarding the information to designated contact persons;
- Scheduling appointments through the booking software system with family doctors, specialists, and for laboratory and diagnostic examinations at provider clinics;
- When necessary, offering insurance products to potential clients over the phone and recording such interactions. If potential clients express interest, forwarding their contact information to the Sales Department via email;
- Managing internal calls by forwarding inquiries to other authorized departments when they fall outside the functions and/or responsibilities of the Assistance Department;
- Assessing customer satisfaction through various types of telephone surveys and maintaining the relevant records;
- Following up on missed calls and ensuring callbacks.
Requirements
- Higher or incomplete higher education in medicine;
- At least one year of work experience in the customer service sector;
- Knowledge of standard office software.
For further information, please contact the Career Development and Employment Office. Professional career guidance and consultation are also available to help you successfully present yourself to potential employers.
Contact Information
E-mail: career@ug.edu.ge
Tel: +995 511 30 27 47
Address: University of Georgia, Building IV, Room 108a
