Customer Service Representative (Healthcare)

Risewave Consulting Inc.; Pasig; On-site; PHP 279,000 - 390,600; Full time

Job summary

A healthcare consulting firm is seeking a Call Center Associate to handle patient inquiries and payment processes. The ideal candidate must have at least 1 year of experience in healthcare and excellent communication skills. This role requires proficiency in Microsoft Office and the ability to work effectively in a fast-paced environment. Strong organizational skills and a calm demeanor in difficult situations are essential.

Qualifications

• At least 1 year minimum experience handling a healthcare account from a BPO or Shared Services.
• Ability to work independently and collaboratively in a team environment.
• Strong verbal communication skills.
• Bilingual skills are a plus.

Responsibilities

• Respond to patient inquiries and requests over the phone.
• Process patient credit card payments to resolve outstanding balances.
• Analyze and resolve issues on patient accounts with accuracy.
• Ensure compliance with HIPAA and PHI guidelines.

Skills

Healthcare claims processing

Communication skills

Organizational skills

Time management

English speaking proficiency

Tools

Microsoft Office

GE and Epic workflow systems

Job description

The ideal candidate will have a basic understanding of healthcare claims and reimbursement processes, strong communication skills, and the ability to remain composed during challenging interactions. If you’re passionate about helping others and thrive in a fast-paced call center environment, we’d love to hear from you.

Duties and Responsibilities

• Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing accurate information.
• Process patient credit card payments over the phone to resolve outstanding self-pay balances.
• Demonstrate basic working knowledge of healthcare claims processing
• Understand fundamental concepts in healthcare reimbursement methodologies and the revenue cycle.
• Utilize GE and Epic workflow systems, along with other available tools, to manage tasks efficiently.
• Analyze, identify, and resolve issues on patient accounts with accuracy and professionalism.
• Interact cooperatively and courteously with patients, visitors, co-workers, management, and clients.
• Adhere to all policies and procedures established for the client and team.
• Meet and maintain daily productivity standards as outlined in departmental policies.
• Meet and maintain quality standards in accordance with departmental expectations.
• Maintain confidentiality at all times and comply with HIPAA and PHI guidelines.
• Remain composed and professional when handling difficult or escalated customer calls.
• Perform all tasks related to the Call Center Department’s areas of responsibility.
• Carry out other related duties and special projects as assigned.

Qualifications

• At least 1 year min. experience handling a healthcare account from a BPO or Shared Services
• Ability to work independently and collaboratively in a team environment
• Proficiency in Microsoft Office applications
• Strong verbal communication skills
• Strong organizational and time management abilities
• English-speaking proficiency required; bilingual skills are a plus
• Ability to remain calm and professional when handling difficult customer calls