Customer Service Representative

2 weeks ago

San Fernando, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱250,000 - ₱450,000 per year

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Customer Service Representative (Healthcare) who will be working with Connext's Client in the United States of America.

What's in it for you?

  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • 25% Night Differential
  • Annual Increase
  • Mid- Year Bonus

What is the job?

The Customer Service Representative (Healthcare) is responsible for providing compassionate and comprehensive support to members within the Medicare line of business.

Responsibilities:


• Manage inbound/outbound calls and resolve member inquiries

• Guide members through appointments, referrals, and transportation

• Provide accurate details on benefits, policies, coverage, and procedures

• Build rapport through active listening and empathy; deliver service excellence

• Document all interactions and maintain records per company/regulatory standards

• Support billing resolution and benefit clarification; escalate issues; ensure HIPAA/Medicare compliance and drive improvements.

Qualifications:


• Minimum of one (1) year of experience in customer service, healthcare support, or BPO environment.

• Clear and coherent both written and verbal communication skills in English, to provide courteous assistance to patients, healthcare providers, and colleagues.

• Navigate healthcare processes, benefit structures, and compliance requirements.

• Experience documenting cases and maintaining accurate records.

• Demonstrates strong attention to detail, organization, and adherence to compliance standards.

• Problem-solving and critical thinking skills to resolve complex member concerns.

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