Healthcare - CSR

Metacom Careers; Philippines; On-site; PHP 201,000 - 268,000; Full time

Job summary

Metacom Careers is hiring a Healthcare Customer Service Representative (CSR) to assist patients, members, and providers with health insurance questions and billing issues.

The role emphasizes accurate information, issue resolution, privacy protection, and empathy while using multiple systems to support customers. Weekend and holiday work may be required.

Qualifications

• College graduate with or without experience.
• 2 years in college with 6 months customer service experience.
• Above average English communication skills.
• Good interpersonal skills.
• Analytical and problem-solving skills.
• Good comprehension skills.
• Basic knowledge of MS Office.
• Willing to work on weekends and holidays.

Responsibilities

• Handle incoming calls, emails, or chats from patients and healthcare members.
• Assist with inquiries about health insurance, benefits, coverage, and eligibility.
• Explain billing, claims, payments, and account-related concerns.
• Help with appointments, referrals, authorizations, and provider information, depending on the account.
• Check and update customer or patient information in the system.
• Document every customer interaction accurately.
• Investigate and resolve customer concerns or escalate complex issues to the appropriate department.
• Protect confidential patient and healthcare information and follow privacy policies.
• Communicate clearly and professionally while showing empathy toward customers.
• Use multiple systems and basic computer applications while assisting customers.

Skills

Customer service

English communication

Interpersonal skills

Analytical thinking

Education

College education or diploma

Tools

MS Office

Job description

Healthcare CSR – Job & Responsibilities

A Healthcare Customer Service Representative (CSR) assists patients, members, healthcare providers, or insurance customers with their healthcare-related concerns. The role focuses on providing accurate information, resolving issues, and ensuring a positive customer experience.

Key Responsibilities

• Handle incoming calls, emails, or chats from patients and healthcare members.


• Assist with inquiries about health insurance, benefits, coverage, and eligibility.


• Explain billing, claims, payments, and account-related concerns.


• Help with appointments, referrals, authorizations, and provider information, depending on the account.


• Check and update customer or patient information in the system.


• Document every customer interaction accurately.


• Investigate and resolve customer concerns or escape** complex issues to the appropriate department.


• Protect confidential patient and healthcare information and follow privacy policies.


• Communicate clearly and professionally while showing empathy toward customers.


• Use multiple systems and basic computer applications while assisting customers.

Job Requirements

• College Graduate with or without experience


• Completed 2 years in college with 6mos customer service-related experience


• Above Average English communication skills


• Good interpersonal skills


• Analytical and problem-solving skills


• Good comprehension skills


• Basic knowledge with MS Office


• Willing to work on weekends and holidays