HMO Client Care & Solutions Specialist

RMC2 Consultancy Corporation; Antipolo; On-site; PHP 250,000 - 360,000; Full time

Job summary

RMC2 Consultancy Corporation is hiring a dedicated HMO Customer Support Specialist in the Philippines to serve as the primary contact for all HMO inquiries, providing accurate information on coverage, benefits, and procedures with empathy and professionalism.

You will handle LOA requests, hospital and clinic coordination, patient documentation, and timely resolution of concerns, while maintaining precise records and collaborating with providers in a fast-paced, digital-first setting.

Qualifications

• Bachelor’s degree or equivalent in a related field.
• Experience in customer service, sales support, insurance, HMO, or healthcare is advantageous.
• Strong written communication in English and Filipino.

Responsibilities

• Serve as the primary contact for all HMO inquiries and concerns.
• Provide accurate information on HMO coverage, benefits, and procedures.
• Process LOA requests, hospital/clinic coordination, and APE scheduling.
• Assist clients with HMO applications and service requests.
• Ensure timely resolution of HMO complaints with professionalism.
• Follow up on pending LOAs, approvals, and medical service requests.
• Coordinate with hospitals, clinics, and HMO providers.
• Maintain and update client records and HMO transactions.
• Escalate urgent concerns to the appropriate team or provider.
• Prepare reports related to HMO transactions and concerns.

Skills

Customer service orientation

English/Filipino communication

CRM familiarity

Multitasking

Attention to detail

Empathy

Education

Bachelor's Degree in Business Administration, Marketing, Communications, Healthcare Management, or related field (preferred)

Tools

CRM systems

Digital messaging platforms

Job description

RMC2 Consultancy Corporation is hiring a dedicated HMO Customer Support Specialist in the Philippines to serve as the primary contact for all HMO inquiries, providing accurate information on coverage, benefits, and procedures with empathy and professionalism.

You will handle LOA requests, hospital and clinic coordination, patient documentation, and timely resolution of concerns, while maintaining precise records and collaborating with providers in a fast-paced, digital-first setting.