Healthcare Account CSR

Recruitify_HR; Parañaque; On-site; PHP 240,000 - 420,000; Full time

Job summary

Recruitify_HR in the Philippines is seeking a dedicated customer service associate to support healthcare members with inquiries about benefits, plans, and covered services.

You will verify benefits, check claims status, assist with billing and account updates, document interactions in company systems, and escalate complex issues to ensure high quality and customer satisfaction. Experience with healthcare terminology and compassionate communication is preferred; training provided.

Responsibilities

• Handle inbound customer inquiries related to healthcare services and insurance benefits.
• Assist customers with benefit verification, claims status, billing inquiries, and account information.
• Provide accurate information about healthcare plans, policies, and covered services.
• Process customer requests and account updates efficiently and accurately.
• Resolve customer concerns while maintaining a high standard of customer service.
• Document customer interactions using company systems.
• Escalate complex healthcare-related concerns to the appropriate department when necessary.
• Meet quality assurance, productivity, and customer satisfaction targets.

Job description

• Handle inbound customer inquiries related to healthcare services and insurance benefits.
• Assist customers with benefit verification, claims status, billing inquiries, and account information.
• Provide accurate information about healthcare plans, policies, and covered services.
• Process customer requests and account updates efficiently and accurately.
• Resolve customer concerns while maintaining a high standard of customer service.
• Document customer interactions using company systems.
• Escalate complex healthcare-related concerns to the appropriate department when necessary.
• Meet quality assurance, productivity, and customer satisfaction targets.