Healthcare Customer Service Rep
Job Summary
We are looking for a Healthcare Customer Service Representative to deliver exceptional customer support by assisting members with healthcare-related inquiries. The role involves managing benefits, claims, billing, and eligibility questions while ensuring high-quality service standards. The ideal candidate must have prior experience in a Healthcare BPO environment and strong communication skills.
Responsibilities
- Handle healthcare inquiries via phone
- Process benefits, claims, and billing
- Document customer interactions
- Meet performance and quality targets
Required Skills
- 10+ months Healthcare BPO experience
- Strong verbal/written English skills
- Proficiency in multi-system navigation
- Understanding of HIPAA compliance
Job Details
Key Responsibilities:
- Handle healthcare-related customer inquiries via phone.
- Assist with benefits, claims, billing, eligibility, and account concerns.
- Document customer interactions accurately in the system.
- Resolve concerns or escalate complex issues when necessary.
- Follow HIPAA, company policies, and quality standards.
- Meet performance and customer satisfaction targets.
Qualifications:
- At least 10 months of Healthcare BPO/customer service experience.
- High school graduate or equivalent.
- Excellent English communication skills, both written and verbal.
- Strong customer service, problem-solving, and multitasking skills.
- Computer literate and able to navigate multiple systems.
- Willing to work onsite and on a shifting schedule in Clark, Pampanga.
Requirements:
- Customer-focused with a positive and professional attitude.
- Able to work in a fast-paced, metrics-driven environment.
- Strong attention to detail and ability to handle confidential information.
- Team player with excellent interpersonal skills.