Customer Service Representative

2 weeks ago

Pasig, National Capital Region, Philippines Home Health Care Placements Full time ₱250,000 - ₱500,000 per year


Educational Background:

  • Bachelors degree in any field.

Work Experience:

  • Minimum of one (1) year of relevant experience in the health maintenance organization (HMO), healthcare, or insurance industry, specifically in customer service, claims processing, or provider coordination.
  • Prior experience in corporate account management or client servicing is highly desirable.

Technical Competencies:

  • Proficient in Microsoft Office applications (Word, Excel, Outlook, and PowerPoint).
  • Knowledgeable in HMO processes, including Letter of Authorization (LOA) issuance, claims review and reimbursement, and provider accreditation.
  • Familiarity with medical terminology and in-patient/out-patient procedures.
  • Strong analytical and documentation skills with the ability to ensure accuracy and completeness of claims or medical documents.

Core Competencies and Soft Skills:

  • Excellent oral and written communication skills with the ability to interact effectively across different communication channels (walk-in, email, phone, and online platforms).
  • Demonstrated customer service orientation and ability to handle inquiries and concerns in a professional and empathetic manner.
  • Highly organized, detail-oriented, and capable of meeting strict reporting deadlines (daily, weekly, and monthly).
  • Strong interpersonal and coordination skills, able to work collaboratively with internal departments, clients, and healthcare providers.
  • Displays discretion and professionalism in handling confidential and sensitive information.
  • Able to work independently with minimal supervision and manage multiple tasks efficiently.
  • Flexible, proactive, and willing to perform other related duties as may be assigned by the company.

Other Requirements:

  • Willing to be assigned on-site within client premises or other designated locations.
  • Amenable to work during extended hours, weekends, or holidays as required to support client operations.
  • Advocates telemedicine services and promotes utilization of preferred healthcare providers for consultations and diagnostic procedures.

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