ヘルスケアコーディネーティングスペシャリスト/ Healthcare Coordinating Specialist

A global healthcare services company is seeking a Healthcare Coordinating Specialist. The selected candidate will coordinate medical appointments, manage healthcare cases, liaise with beneficiaries and providers, and ensure timely and professional case resolution.

Responsibilities:

• Coordinate medical appointments between beneficiaries and local healthcare providers
• Manage open cases for DOD US Federal Employee Health Benefit Programme beneficiaries
• Handle new appointment requests in a timely and professional manner
• Maintain accurate case notes and records in relevant systems
• Manage urgent cases and follow appropriate escalation procedures
• Respond to beneficiary and provider queries with a solutions-focused approach
• Follow up with beneficiaries and providers on claims queries when required
• Collaborate with Customer Operations Specialists, Coordinating Nurses, Network Managers, and other stakeholders to resolve cases
• Communicate network requirements, availability shortages, and network gaps to relevant stakeholders
• Maintain effective relationships with healthcare providers
• Monitor and communicate workload and case movements to the line manager
• Recognise and record customer feedback for quality improvement and service recovery
• Maintain compliance with applicable privacy policies, company policies, and procedures
• Attend required training, coaching, and meetings

Requirements:

• 2-3 years of customer service experience via phone, chat, email, or physical correspondence
• Experience in a related office, administrative, clerical, or customer service environment using phones and computers as primary tools
• Experience working in a customer service role, preferably in a healthcare setting
• Experience processing healthcare claims and health insurance is preferred
• Experience in a customer-centric or service department
• Proficiency in MS Office Suite, and data entry systems
• Ability and willingness to work shifts according to a pre-published duty roster

• Business level English; fluent level Japanese

Preferred requirements:

• Experience processing healthcare claims and health insurance
• Previous experience working within the company

About the Company:

The company provides global healthcare and medical assistance services, supporting customers and organisations across international markets. It operates in a globally diverse environment focused on healthcare coordination and customer support.

Keywords:

医療コーディネーション, ヘルスケア, カスタマーサービス, ケースマネジメント, 医療予約, 健康保険, クレーム対応, 顧客対応, 医療サービス, ネットワーク管理, 求人, 外資系

Job Ref: UEFANP