Customer Service/ CSR

Synlink Recruitment Outsourcing Co. Inc.; Taguig; On-site; PHP 300,000 - 400,000; Full time

Job summary

A healthcare service provider is seeking candidates for a customer service position in Metro Manila. The role involves handling calls from patients and healthcare providers, providing information on insurance coverage, and resolving various inquiries. A college degree is required, although those with a high school diploma and relevant experience may also apply. Candidates should possess strong communication skills and empathy to manage calls effectively.

Qualifications

• Strong communication skills and ability to assist callers accurately.
• Experience with claims, billing questions, and insurance plans is a plus.
• Ability to maintain confidentiality and adhere to regulations.

Responsibilities

• Handle inbound and outbound calls related to healthcare and insurance.
• Provide accurate information regarding insurance coverage and eligibility.
• Coordinate with internal departments to resolve complex customer issues.

Skills

Communication skills

Empathy

Problem-solving

Education

College Graduate

HS or SHS Graduate with experience

Job description

• Handle inbound and outbound calls from patients, members, and healthcare providers.
• Provide accurate information regarding insurance coverage, plan benefits, co-pays, deductibles, and eligibility.
• Assist callers with claims status, billing questions, payment arrangements, and explanation of benefits (EOBs).
• Process account updates, documentation requests, and escalations according to policies.
• Coordinate with internal departments to resolve complex issues (claims, authorizations, provider networks, etc.).
• Maintain confidentiality and adhere to HIPAA and company security standards.
• Log interactions clearly and accurately in the customer management system.
• Achieve performance metrics such as call quality, first-call resolution, handle time, and customer satisfaction.
• De-escalate challenging situations with professionalism and empathy.
• Stay updated on healthcare policies, insurance plans, and regulatory requirements.

Job Requirements

• College Graduate
• with or without experience
• HS or SHS Graduate
• with at least 6 months of experience