Healthcare Customer Service Representative

HRTX; Pasig; On-site; PHP 400,000 - 600,000; Full time

Job summary

HRTX is seeking a compassionate Customer Service Representative (CSR) for their Healthcare team. This role involves supporting prior authorization services by verifying benefits and facilitating requests, ensuring patient coverage clarity. The ideal candidate should possess a Medical Allied degree and healthcare experience.

Qualifications

• 6 months experience in healthcare.
• Preferably with prior authorization experience.
• Good to excellent communication skills.

Responsibilities

• Handle end-to-end prior authorization requests for healthcare services or medications.
• Verify patient insurance eligibility and coverage details.
• Submit PA requests to insurance payers via portal, fax, or phone.

Skills

Communication

Detail-oriented

Education

College graduate in any Medical Allied course

Job description

We are seeking a detail-oriented and compassionate Customer Service Representative (CSR) to join our Healthcare team, specifically supporting prior authorization services. In this role, you will assist patients, providers, and pharmacy professionals by verifying benefits, explaining coverage, and facilitating prior authorization requests for healthcare services and medications.

Qualifications:

• Must be a college graduate in any Medical Allied course
• 6 months experience in healthcare
• Preferably with prior authorization experience
• Good to excellent communication skills
• Can start ASAP

Responsibilities:

• Handle end-to-end prior authorization requests for healthcare services or medications
• Verify patient insurance eligibility and coverage details
• Review and collect required clinical documentation for submission
• Submit PA requests to insurance payers via portal, fax, or phone
• Track and follow up on submitted authorizations to ensure timely processing
• Communicate authorization status, approvals, or denials to providers and patients
• Assist with appeals and additional documentation requests when needed
• Maintain accurate records in system and ensure HIPAA compliance