Healthcare Representative

3 days ago

Quezon City, National Capital Region, Philippines Unify CX Full time ₱300,000 - ₱450,000 per year

UnifyCX is looking for an extraordinary Healthcare Representative to join our motivated and ambitious team.

What Will You Do?

As a Healthcare Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers.

The Healthcare Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Healthcare Representative you are the primary source for issuing authorizations when eligible for services.

In this position you will:

  • Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:
  • Issuing authorizations
  • Handling claim inquiries from providers and members
  • Communicate the correct information regarding accessibility, claims status and other calls of a service nature
  • Providing benefits information
  • Process customer claims according to established department policies and procedures
  • Checking voicemail boxes and handling customer/provider requests for:
  • I.D. cards
  • Authorizations
  • Customer Service questions and issues
  • Fulfill rapid call volume by handling the appropriate amount of incoming calls
  • Complete Provider Relations requests for service
  • Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
  • Partner with Sales and Provider Relations to meet and exceed customers' expectations
  • Provide excellent customer service and handle all customers in a professional and courteous manner
  • Other duties as assigned

Who You Are:

To be considered, candidates are expected to have the following:

Required Qualifications:

  • 1 year of Healthcare Account experience in a Customer Service role in a Call Center Setting
  • High school diploma or equivalent
  • Excellent customer service skills (friendly, courteous, and helpful)
  • Excellent interpersonal verbal and written communication skills
  • The ability to diffuse volatile situations, share information, and educate callers
  • Strong execution and follow-up skills
  • Goal-oriented with ability to meet production standards
  • Team orientation and ability to work effectively across functional areas

Preferred Qualifications:

  • Understanding of the health insurance or insurance industries
  • Accurate and efficient data entry skills
  • Strong analytical skill and ability to demonstrate good judgment
  • Ability to coordinate multiple tasks and projects
  • Skilled in dealing with all customers in an efficient and effective manner

Who We Are:

unifyCX is an emerging Global Business Process Outsourcing company with a strong presence in the U.S., Colombia, Dominican Republic, India, Jamaica, Honduras, and the Philippines. We provide personalized contact centers, business processing, and technology outsourcing solutions to clients worldwide. In nearly two decades, unifyCX has grown from a small team to a global organization with staff members all over the world dedicated to supporting our international clientele.

At unifyCX, we leverage advanced AI technologies to elevate the customer experience (CX) and drive operational efficiency for our clients. Our commitment to innovation positions us as a trusted partner, enabling businesses across industries to meet the evolving demands of a global market with agility and precision.

unifyCX is a certified minority-owned business and an EOE employer who welcomes diversity.

  • Healthcare Representative

    1 week ago

    Quezon City, National Capital Region, Philippines Stark Asia Solutions, Inc Full time ₱240,000 - ₱360,000 per year

    NOW HIRING: Healthcare Account – Customer Service RepresentativeSalary Package: Up to ₱26,000 (based on tenure as an agent) + 20% Night Pay and moreAccount Type: Voice – Healthcare AccountWork Setup: 100% OnsiteSchedule: ShiftingStart Date: OctoberHiring Process: Fast & Easy – One Day HiringQualifications: SHS Graduate or College Undergraduate –...

  • Customer Service Representative – Healthcare Account

    3 days ago

    Quezon City, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱180,000 - ₱200,000 per year

    Customer Service Representative – Healthcare Account (Bridgetowne, Quezon City)Job Highlights: Healthcare Account – Voice / International Onsite Work Setup in Bridgetowne, QC Start Dates: Last Week of August & Throughout September Fast-Paced Hiring – Virtual and Onsite ProcessJob Description:Join one of the leading BPO companies in the country and be...

  • Spanish Bilingual Healthcare Representative

    7 days ago

    Quezon City, National Capital Region, Philippines MicroSourcing Full time ₱300,000 - ₱450,000 per year

    Position Title: Spanish Bilingual Healthcare RepresentativeWork set-up: Onsite and NightshiftSite: 1880 Building, Eastwood, Libis, Quezon CityWhy join MicroSourcing?You'll HaveCompetitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and...

  • Healthcare Representative

    3 days ago

    Quezon City, National Capital Region, Philippines Genpact Services LLC Full time $40,000 - $60,000 per year

    Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose – the relentless pursuit of a world that works better for people – we...

  • Healthcare Product Agent

    3 days ago

    Quezon City, National Capital Region, Philippines The HIRD Corp. Full time $26,000 per year

    Make a Difference in HealthcareAre you a problem-solver with a passion for helping others? We're looking for dynamic Customer Service Representatives to join our Healthcare Product team, delivering exceptional support and innovative solutions to our clientsWhat You'll DoBe the voice of care, addressing customer inquiries with empathy and expertise.Inspire...

  • Healthcare Associate

    4 weeks ago

    Quezon City, National Capital Region, Philippines Jocson College Inc. Full time

    Healthcare Associate - Apply Now College Graduate without BPO ExpSagilityNational Capital Region (NCR), Quezon CityCandidate must possess at least a Doctorate Degree, Some College (But did not graduate) on any course.Fresh Grad / Entry Level specializing in BPO/Call Center or equivalent.Required language(s): English.ResponsibilitiesThe representative will be...

  • Healthcare Associate

    4 weeks ago

    Quezon City, National Capital Region, Philippines Jocson College Inc. Full time

    Healthcare Associate - Apply Now College Graduate without BPO Exp - (Quezon City)SagilityNational Capital Region (NCR), Quezon CityCandidate must possess at least a Doctorate Degree, Some College (But did not graduate) on any course.Fresh Grad / Entry Level specializing in BPO/Call Center or equivalent.Required language(s): English.ResponsibilitiesThe...

  • Healthcare Customer Service Representative

    1 week ago

    Quezon City, National Capital Region, Philippines MicroSourcing Full time ₱250,000 - ₱600,000 per year

    Discover your 100% you with MicroSourcingPosition: Healthcare Customer Service Representative Work setup & Shift: Onsite | Night Shift Site: 1880 Avenue Building, Eastwood City Cyberpark, Quezon CityWhy join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid...

  • Healthcare CSR

    3 weeks ago

    Quezon City, National Capital Region, Philippines Sourcefit Full time

    Position Summary:We are seeking a compassionate and experienced Healthcare Customer Service Representative (CSR) to join our team. This role focuses on delivering exceptional service to patients by providing accurate billing information, applying payments, and resolving concerns related to insurance and account balances. The ideal candidate thrives in...

  • Medical Sales Representative

    1 day ago

    Quezon City, National Capital Region, Philippines Karl Group Holdings Corp. Full time $104,000 - $130,878 per year

    About the Role:We are seeking a motivated Medical Sales Representative to join our team in the healthcare and medical equipment industry. This role is ideal for a driven professional passionate about healthcare innovation, sales growth, and delivering exceptional service to clients.Key Responsibilities:Promote and sell a wide range of medical equipment and...