Job Description:
We are looking for a dedicated and customer-focused
Healthcare Customer Service Representative
to join our team. In this role, you will assist members, patients, healthcare providers, and insurance partners by addressing inquiries, resolving concerns, and providing accurate information regarding healthcare plans and services. You will deliver exceptional customer service while ensuring compliance with company policies and healthcare regulations.
Key Responsibilities:
Handle inbound and outbound customer service calls related to healthcare accounts.
Assist members with inquiries regarding benefits, eligibility, claims, billing, and provider networks.
Resolve customer concerns professionally and efficiently while maintaining a high level of customer satisfaction.
Accurately document customer interactions in the system.
Coordinate with healthcare providers and internal departments to resolve issues.
Maintain confidentiality of patient and member information in compliance with HIPAA and company policies.
Meet productivity, quality, attendance, and performance metrics.
Qualifications:
College graduate
Excellent verbal and written communication skills in English.
Strong customer service and problem-solving skills.
Basic computer knowledge and typing skills.
Ability to work in a fast-paced environment.
Willing to work on shifting schedules, weekends, and holidays.
Previous BPO or healthcare customer service experience is an advantage but not required for some accounts.
Why Join Us?
Competitive salary package
Performance incentives and bonuses
HMO and healthcare benefits
Paid training
Career growth and development opportunities
Supportive and inclusive work environment
Experience: Fresh Graduate/Student
