We are seeking highly motivated and compassionate individuals to join our team as Customer Service Representatives (Healthcare account). In this role, you will serve as the frontline support for patients, healthcare providers, and insurance policyholders. Your primary task will be to respond to inquiries related to health insurance benefits, medical claims, billing issues, appointments, and policy coverage. You’ll play a crucial role in making healthcare more accessible and less stressful for people who rely on accurate information and timely assistance.
Job Responsibilities:
- Answer inbound calls and respond to customer emails or chats concerning health insurance plans, claims status, and medical service eligibility
- Assist members in understanding their coverage, navigating healthcare provider networks, and coordinating medical appointments
- Provide clear, accurate, and compassionate responses to patients’ concerns, helping ease their experience with the healthcare system
- Handle billing-related questions, including payment arrangements, discrepancies, and benefit explanations
- Process and verify prior authorizations, referrals, and documentation required for medical services
- Accurately input customer information and call notes into internal systems while maintaining attention to detail
- Manage sensitive personal health data in compliance with HIPAA regulations and local privacy standards
- Escalate complex or urgent issues to the appropriate departments while maintaining communication with the customer
- Continuously meet or exceed service quality metrics, including average handling time (AHT), first-call resolution (FCR), and customer satisfaction (CSAT)
- Participate in ongoing training sessions to stay updated on industry regulations, policy updates, and healthcare system changes
Job Requirements for Customer Service Representatives (Healthcare Account) :
- A graduate of Junior/Senior High School, vocational course, ALS, or at least college level in any field
- Exceptional English communication skills, both verbal and written, with the ability to explain complex information in a simple and empathetic manner
- Strong analytical, listening, and interpersonal skills with the ability to handle emotionally sensitive situations
- Comfortable using computers, CRM systems, and navigating multiple screens or databases during calls
- Ability to stay organized, follow procedures, and multitask in a fast-paced, high-volume environment
- Willing to work on-site and follow a shifting schedule, including weekends and holidays, as required
- BPO or healthcare account experience is a plus, but not mandatory—training will be provided
If you’re passionate about helping others, enjoy solving problems, and want to make a difference in people’s lives through quality customer service — this is your chance. Build a rewarding career in the healthcare BPO industry with us.
Click apply now to get started — we’d love to welcome you to our team!
