Customer Service Representative

5 days ago

Pasig, Philippines Risewave Consulting Inc. Full time

The ideal candidate will have a basic understanding of healthcare claims and reimbursement processes, strong communication skills, and the ability to remain composed during challenging interactions. If you’re passionate about helping others and thrive in a fast-paced call center environment, we’d love to hear from you.

Duties and Responsibilities
  • Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing accurate information.
  • Process patient credit card payments over the phone to resolve outstanding self-pay balances.
  • Demonstrate basic working knowledge of healthcare claims processing
  • Understand fundamental concepts in healthcare reimbursement methodologies and the revenue cycle.
  • Utilize GE and Epic workflow systems, along with other available tools, to manage tasks efficiently.
  • Analyze, identify, and resolve issues on patient accounts with accuracy and professionalism.
  • Interact cooperatively and courteously with patients, visitors, co-workers, management, and clients.
  • Adhere to all policies and procedures established for the client and team.
  • Meet and maintain daily productivity standards as outlined in departmental policies.
  • Meet and maintain quality standards in accordance with departmental expectations.
  • Maintain confidentiality at all times and comply with HIPAA and PHI guidelines.
  • Remain composed and professional when handling difficult or escalated customer calls.
  • Perform all tasks related to the Call Center Department’s areas of responsibility.
  • Carry out other related duties and special projects as assigned.
Qualifications
  • At least 1 year min. experience handling a healthcare account from a BPO or Shared Services
  • Ability to work independently and collaboratively in a team environment
  • Proficiency in Microsoft Office applications
  • Strong verbal communication skills
  • Strong organizational and time management abilities
  • English-speaking proficiency required; bilingual skills are a plus
  • Ability to remain calm and professional when handling difficult customer calls
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