We are looking for compassionate, customer-focused, and detail-oriented
Behavioral Health Customer Service Representatives to join our team. In this role, you will assist members, patients, and healthcare providers by addressing behavioral health-related inquiries, explaining benefits and services, resolving concerns, and delivering exceptional customer support. You will serve as a trusted point of contact while maintaining professionalism, empathy, and confidentiality in every interaction.
Key Responsibilities
- Respond to inbound and outbound customer inquiries via phone, email, or chat.
- Assist members with behavioral health benefits, eligibility, claims, referrals, prior authorizations, and provider information.
- Provide accurate information about behavioral health programs, services, and available resources.
- Resolve customer concerns promptly while ensuring a positive customer experience.
- Document all customer interactions accurately in the company's systems.
- Maintain compliance with HIPAA regulations and company policies regarding confidentiality and data privacy.
- Collaborate with internal teams to resolve member issues efficiently.
- Meet established quality, productivity, and customer satisfaction goals.
Qualifications
- College Graduate (any course) with or without BPO experience.
- College Undergraduate (completed at least 2 years of college) with at least 6 months of BPO experience as a Customer Service Representative (CSR) or in a related customer service role.
- Excellent verbal and written English communication skills.
- Strong customer service, problem-solving, and interpersonal skills.
- Basic computer navigation, typing, and multitasking abilities.
- Ability to handle sensitive information with professionalism and confidentiality.
- Willing to work on shifting schedules, weekends, and holidays, if required.
- Willing to work onsite.
Why Join Us
- Competitive salary and performance-based incentives
- Paid training and career development opportunities
- HMO and comprehensive company benefits
- Supportive and collaborative work environment
- Opportunities for career growth within the healthcare industry
