Healthcare Customer Service Representative

We are looking for a compassionate and customer-focused Healthcare Customer Service Representative to join our team. In this role, you will be responsible for assisting members, patients, and healthcare providers by addressing inquiries related to healthcare benefits, eligibility, claims, billing, and other healthcare services. You will deliver exceptional customer service while ensuring accurate information, timely issue resolution, and a positive customer experience.

Key Responsibilities

• Handle inbound customer inquiries regarding healthcare benefits, eligibility, claims, billing, and healthcare services.
• Assist members and providers by providing accurate information and resolving concerns efficiently.
• Process service requests and document all customer interactions accurately in the system.
• Escalate complex issues to the appropriate department when necessary.
• Maintain confidentiality and comply with HIPAA and company privacy regulations.
• Meet established quality, productivity, and customer satisfaction metrics.
• Collaborate with internal teams to ensure prompt and effective resolution of customer concerns.

Qualifications

• College graduates are welcome to apply, with or without BPO experience.
• College undergraduates or high school graduates must have at least 6 months of BPO or customer service experience.
• Excellent English communication and interpersonal skills.
• Strong customer service, problem-solving, and active listening skills.
• Basic computer navigation and typing proficiency.
• Willing to work onsite and on a shifting schedule.
• Previous healthcare or customer service experience is an advantage but not required.

Why Join Us?

• Competitive salary and performance-based incentives
• Paid training and continuous learning opportunities
• HMO and comprehensive benefits package
• Career growth and advancement opportunities
• Supportive, inclusive, and collaborative work environment