We are looking for dedicated and customer-focused individuals to join our team as Healthcare Customer Service Representatives. In this role, you will assist members, providers, and healthcare professionals by addressing inquiries, resolving concerns, and providing accurate information regarding healthcare benefits, eligibility, claims, and other related services. You will deliver exceptional customer service while ensuring compliance with company policies and healthcare regulations.
Key Responsibilities
- Handle inbound and outbound customer inquiries in a professional and timely manner.
- Assist members and providers with benefit, eligibility, claims, billing, and authorization inquiries.
- Document customer interactions accurately in the system.
- Resolve customer concerns while maintaining a high level of customer satisfaction.
- Adhere to company policies, quality standards, and healthcare compliance requirements.
- Meet performance metrics, including productivity, quality, and attendance goals.
Qualifications
- College graduates are welcome to apply; no prior work experience is required.
- College undergraduates must have at least 6 months of BPO/customer service experience.
- Excellent verbal and written communication skills in English.
- Strong problem-solving and customer service skills.
- Basic computer proficiency and ability to navigate multiple systems.
- Willing to work on a shifting schedule, including weekends and holidays, if required.
- Amenable to work on-site.
