Healthcare jobs in Manila

Position Summary

Are you passionate about delivering exceptional customer service and making a meaningful impact in healthcare? Join our team as a Healthcare Customer Service Representative, where you'll support members, providers, and healthcare partners by delivering accurate information, resolving inquiries, and ensuring an outstanding customer experience.

As part of our US Healthcare BPO team, you'll play a vital role in helping customers navigate their healthcare benefits, claims, authorizations, and other healthcare-related services while maintaining the highest standards of professionalism, empathy, and compliance.

Key Responsibilities

• Handle inbound and outbound customer interactions professionally through phone, email, or chat.
• Assist members, providers, and healthcare facilities with inquiries related to:
• Benefits and eligibility
• Claims status and resolution
• Prior authorizations
• Referrals and healthcare services
• Verify member and provider information while maintaining confidentiality and compliance with HIPAA regulations.
• Accurately document all customer interactions using client systems and internal tools.
• Resolve customer concerns efficiently and escalate complex issues when necessary.
• Meet established quality, productivity, customer satisfaction, and service level targets.
• Stay current with client policies, healthcare regulations, and process updates.
• Collaborate with internal teams to ensure timely resolution of customer concerns.
• Deliver an exceptional customer experience through active listening, empathy, and effective communication.

Qualifications

• High school diploma or equivalent; a bachelor's degree is an advantage.
• At least 1 year of customer service experience, preferably in a Healthcare BPO, contact center, or healthcare environment.
• Experience supporting US Healthcare accounts is highly preferred.
• Knowledge of one or more of the following is an advantage:
• Member Services
• Provider Services
• Claims Processing
• Prior Authorization
• Medical Billing
• Eligibility and Benefits Verification
• Revenue Cycle Management (RCM)

Knowledge, Skills, and Competencies

• Excellent verbal and written English communication skills.
• Strong customer service and problem-solving abilities.
• Ability to build rapport and demonstrate empathy with customers.
• Strong attention to detail and organizational skills.
• Ability to multitask and work efficiently in a fast-paced environment.
• Basic understanding of the US Healthcare system, insurance terminology, and payer processes is preferred.
• Knowledge of HIPAA and healthcare compliance requirements is an advantage.
• Proficiency in Microsoft Office applications and customer relationship management (CRM) systems.
• Willingness to work rotating shifts, including night shifts, weekends, and holidays, based on business needs.

Join Our Team

If you're committed to delivering exceptional customer service and want to build a rewarding career in the US Healthcare industry, we'd love to hear from you. Join us and become part of a team that makes a difference by helping members and providers access the healthcare support they need every day.

Pay: Php25,000.00 - Php30,000.00 per month

Benefits:

• Additional leave
• Company Christmas gift
• Employee discount
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Promotion to permanent employee
• Transportation service provided

Experience:

• Healthcare Customer Service Representative: 1 year (Preferred)
• Prior Authorization: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)
• Healthcare Collection | Selfpay: 1 year (Preferred)

Work Location: In person