Healthcare Customer Care Specialist

Our Clients; Cebu City; On-site; PHP 246,000 - 424,000; Full time

Job summary

Our Clients is seeking a Healthcare Customer Service Representative / Medical Associate to support patients, members, healthcare providers, and stakeholders. The role handles inquiries, assists with benefits and claims, and ensures a positive customer experience.

The ideal candidate has strong communication skills and a basic understanding of healthcare processes or health insurance, with flexibility for shifting schedules and onsite work as required.

Qualifications

• Strong communication skills and attention to detail.
• Familiarity with healthcare processes, medical terminology, or health insurance preferred.

Responsibilities

• Handle inbound and outbound calls, emails, and chat inquiries from patients, members, healthcare providers, or clients.
• Assist customers with healthcare-related inquiries, benefits, claims, eligibility, billing, or medical services.
• Verify and update patient/member information in accordance with company processes.
• Explain healthcare benefits, coverage, eligibility, claims status, and other account-related information when applicable.
• Coordinate with internal teams to resolve customer concerns.
• Document all customer interactions and resolutions accurately in the systems.
• Escalate complex or sensitive concerns to the appropriate team.
• Maintain confidentiality of patient and customer information per privacy requirements.
• Meet performance, quality, productivity, attendance, and customer satisfaction targets.
• Follow SOPs, compliance requirements, and quality guidelines.
• Perform other healthcare customer service-related tasks as assigned.

Skills

Verbal and written communication

Active listening

Documentation

Problem-solving

Multitasking

Attention to detail

Interpersonal skills

Education

High school diploma or equivalent

Healthcare-related background (advantage)

Job description

Our Clients is seeking a Healthcare Customer Service Representative / Medical Associate to support patients, members, healthcare providers, and stakeholders. The role handles inquiries, assists with benefits and claims, and ensures a positive customer experience.

The ideal candidate has strong communication skills and a basic understanding of healthcare processes or health insurance, with flexibility for shifting schedules and onsite work as required.