Healthcare Customer Service Rep
Job Summary
We are looking for customer-focused individuals to join our team as a Healthcare Customer Service Representative. In this role, you will be the first point of contact for members, providing assistance with healthcare benefits, eligibility, claims, billing, and general inquiries. Your goal is to deliver exceptional customer service with empathy, accuracy, and professionalism.
Responsibilities
- Handle inbound customer inquiries
- Assist with benefits, claims, and billing
- Resolve customer issues and document interactions
- Coordinate with internal departments
Required Skills
- Excellent English communication
- Customer service orientation
- Problem-solving skills
- Basic computer proficiency
Job Details
Key Responsibilities:
- Handle inbound customer inquiries via phone, email, or chat.
- Assist members with healthcare benefits, eligibility, claims, billing, and provider-related concerns.
- Provide accurate information about healthcare plans, policies, and available services.
- Resolve customer issues efficiently while maintaining a high level of customer satisfaction.
- Document all customer interactions accurately in the system.
- Coordinate with internal departments to ensure timely resolution of member concerns.
- Adhere to company policies, HIPAA/data privacy standards, and quality guidelines.
- Meet performance, productivity, and customer satisfaction targets.
Qualifications:
- College Graduate (with or without BPO/customer service experience). Fresh graduates are encouraged to apply.
- College Undergraduate (completed at least 2 years of college) with at least 6 months of BPO or related customer service experience.
- Excellent verbal and written English communication skills.
- Strong customer service, problem-solving, and interpersonal skills.
- Basic computer navigation and typing proficiency.
- Willing to work onsite and on a shifting schedule, including weekends and holidays if required.
- Experience in healthcare or customer service is an advantage but not required.