Customer Service Representative
Job Summary
We are seeking a Customer Service Representative for a healthcare account to handle inbound calls and assist customers with healthcare plans, coverage, claims, and service-related concerns. Candidates must have at least 6 months of call center experience in a healthcare account and good communication skills. The role involves working in a shifting schedule across locations including Ortigas, Eastwood, or Mandaluyong.
Responsibilities
- Handle inbound healthcare customer calls
- Assist with account, benefits, and billing concerns
- Resolve basic issues and escalate complex cases
- Document interactions and maintain compliance
Required Skills
- High School Graduate or Senior High School Graduate
- At least 6 months healthcare call center experience
- Good communication and customer service skills
- Willingness to work a shifting schedule
Job Details
Customer Service Representative- HEALTHCARE ACCOUNT
QUALIFICATIONS
- At least High School Graduate/Senior High School Graduate
- At least 6 months call center experience required (Healthcare Account)
- Good communication and customer service skills
- Willing to handle inbound customer calls
- Willing to work in a fast-paced customer service environment
- Willing to work a shifting schedule
- Can start asap
- Salary will be based on experience, interview performance, and assessment results
RESPONSIBILITIES
- Handle inbound calls from patients, members, providers, or healthcare customers
- Assist customers with account, benefits, eligibility, billing, and service-related concerns
- Provide accurate and appropriate information based on established processes and guidelines
- Assist with basic inquiries regarding healthcare plans, coverage, claims, appointments, and services
- Verify and update customer information while maintaining data accuracy and confidentiality
- Resolve basic customer concerns and provide appropriate solutions or next steps
- Escalate complex or sensitive healthcare concerns to the appropriate department or support team
- Troubleshoot basic account and service-related issues
- Document customer interactions, concerns, and resolutions accurately in the system
- Follow established healthcare, customer service, privacy, and compliance procedures
- Maintain professionalism, empathy, and patience when assisting customers
- Deliver a positive customer experience on every interaction
- Meet established quality, productivity, attendance, and customer satisfaction targets