Pooling: Healthcare CSR
Save this job and keep your search organized
Create a free account to save jobs, create alerts and return to this listing from your dashboard.
By continuing, you agree to our Terms & Privacy Policy.
About the role
The company is building an in-house customer support function for the first time. They're looking for experienced Healthcare Customer Service Representatives to provide support to their members and providers. This role is responsible for delivering a high-quality concierge experience by assisting with healthcare benefit questions, eligibility, claims inquiries, provider searches, and issue resolution.
Key responsibilities
- Answer inbound calls from members and providers in a professional, customer-focused manner.
- Support member and provider inquiries related but not limited to member eligibility verification, benefit coverage, claim status, provider network information, benefit coverage, member portal navigation, and general provider support.
- Accurately document every interaction, action taken, and follow-up item per established procedures.
- Navigate multiple healthcare systems and resources to research and resolve inquiries.
- Follow HIPAA guidelines and maintain strict confidentiality of member information.
- Take ownership of provider concerns and work toward first-contact resolution.
- Recognize issues that require escalation and follow the appropriate escalation process.
- Flag trends, process gaps, and improvement opportunities as the team builds its foundation.
As the team scales, responsibilities will expand to include member-facing calls covering benefit coverage, ID cards, provider network information, and member portal navigation.
What we're looking for
- 3-5+ years of healthcare customer service or healthcare call center experience.
- Working knowledge of major U.S. health insurance carriers (e.g., Aetna, Blue Cross Blue Shield) and plan structures.
- Excellent written and verbal English communication skills.
- Solid grasp of healthcare terminology: eligibility, benefits, claims, provider networks, and prior authorization basics.
- Comfortable multitasking across multiple systems while staying accurate and empathetic with callers.
- Strong attention to detail and documentation accuracy.
- Based in Metro Manila and available to work in-office to start.
Nice to have
- Prior experience with a health plan, TPA, insurance company, or benefits administrator.
- Member Services and/or Provider Services experience specifically.
- Self-funded health plan knowledge.
- Experience with CRM, ticketing, or call center platforms.
What success looks like
- A customer-first mindset paired with genuine empathy and professionalism.
- Strong problem-solving instincts and a bias toward ownership.
- Comfort operating in a growing, startup-like environment where processes are still taking shape.
- A willingness to learn new systems and help set the standard for teammates who join later.
- Startup-ready mindset and attitude, comfortable with ambiguity, fast change, and building processes from scratch.
-
Healthcare CSR
6 hours ago
makati, metro manila, Philippines Metacom Careers Full-timeOn-site - Makati No Exp Required High/Senior High School Full-time Job Description Employee Recognition and Rewards Performance Bonus, Incentives Government Mandated Benefits Insurance Health & Wellness HMO Professional Development Job Training, Professional Development Description Assist patients by answering inquiries and providing information about...
-
Makati, Metro Manila, Philippines Genfinity Full-timeGenfinity in the Philippines seeks an Allied Health Graduate to join our US healthcare support team. The role focuses on scheduling, appointment management, billing inquiries, and follow-ups for one client. The ideal candidate has a Bachelor’s degree in an Allied Health field and at least 1 year of CSR experience in US healthcare. Training will be...
-
Makati, Metro Manila, Philippines Genfinity Full-timeGenfinity Philippines, Inc. seeks an Allied Health Graduate to support scheduling, appointment management, billing inquiries, medication follow-ups, and urgent US healthcare needs for a US client. The role is on-site in Makati and requires a Bachelor's degree in Allied Health with CSR experience in a high-volume setting. Typical work hours align with US...
-
Healthcare Account CSR Hiring
2 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
-
Healthcare Account Hiring for CSRs
2 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
-
Healthcare Account CSR Opening
6 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
-
Healthcare Account CSR Hiring in Makati
2 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
-
Healthcare Account Hiring for Aspiring CSRs
2 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
-
CSR | WFH/WAH | Healthcare Campaign
6 hours ago
makati, metro manila, Philippines Olympuz-Edward Belacse Career Consultancy Services Full-timeOlympuz-Edward Belacse Career Consultancy Services Negotiable Hybrid - Quezon City Fresh Graduate/Student High/Senior High School Full-time Chat Apply Share Job Description Employee Recognition and Rewards Equity Incentive Plan, Performance Bonus, Incentives Government Mandated Benefits 13th Month Pay, Employee Loan, Pag-Ibig Fund, Paid Holidays ...
-
Healthcare CSR Hiring for the Makati Site
6 hours ago
Makati, Metro Manila, Philippines NEKSJOB CORPORATION Full-timeSP: 26, 000 Job description: Customer Service Representatives handle concerns and complaints regarding goods and services. In addition to assisting consumers with returns, upgrades, and purchases, they frequently offer guidance and technical support. They typically do their business from residences, call centers, or office settings. Qualifications: At...
