Healthcare Customer Service Agent

2 weeks ago

Cebu City, Central Visayas, Philippines KMC Solutions Full time ₱900,000 - ₱1,200,000 per year

Job Overview:

  • On-site a Cebu Exchange Tower
  • Fixed night shift
  • Minimum of 3 years proven experience in a customer service or client support role, preferably in a high-volume or BPO/contact center environment.

The main responsibilities of a CUSTOMER SERVICE REPRESENTATIVE I include:

  • Convey a positive image of the company by promptly responding to customer phone inquiries and determining the appropriate actions to resolve issues, gather and provide information, and offer assistance.
  • Deliver service that meets or exceeds department performance standards for Average Hold Time, Abandonment Rate, Talk Time, Quality, Adherence, and One-touch Resolution.
  • Utilize multiple company database programs to research and resolve complex issues relating to benefit information, claims adjudication, eligibility verification, prior authorization, and other PBM processes. Use task route function, , and other processes & tools as applicable to escalate issues, request follow up action, or obtain assistance from other areas of the organization as necessary.
  • Educate external customers about company's roles and responsibilities. Provide information about override guidelines, benefit plan restrictions, prior authorization requirements, grievance and appeal processes, and other PBM functions as specified by health plan sponsors in online CS Notes.
  • Follow up with callers as appropriate to ensure customer satisfaction and timely response to requests. Diffuse irate or emotionally upset customers by appropriately listening to issues, calming the customer, and providing positive solutions to resolve concerns.
  • Represent company in a positive manner by adhering to SMART processes and established procedures and guidelines. Support the department strategy by delivering Customer Service
  • Excellence through telephone courtesy, prompt response to callers, anticipation of customer needs and concerns, solution-oriented problem solving, and adherence to call center scripts, greetings, and call closing messages.
  • Identify opportunities and make recommendations to department leadership for improvement of workflow processes, operating systems, training programs, reference materials, and quality initiatives that enhance the customer experience.
  • Keep current on new plan information and instructions by attending and participating in staff meetings, RTL's, company-required training programs, and other activities that develop skills, build teamwork, and provide updated information.
  • Pharmacy Technician Certified CSR's support physician calls and can review Prior Authorization (PA) guidelines noted in the system.

Qualifications:

  1. Minimum of 3 years proven experience in a customer service or client support role, preferably in a high-volume or BPO/contact center environment.
  2. Excellent verbal and written communication skills in English, with the ability to convey information clearly, professionally, and empathetically.
  3. Demonstrated ability to handle complex customer inquiries with professionalism, patience, and problem-solving skills.
  4. Strong active listening skills and a customer-first attitude.

  • Customer Service Agent

    1 week ago

    Cebu City, Central Visayas, Philippines Work Avenue and Business Solutions Incorporated Full time ₱180,000 - ₱250,000 per year

    We are looking for a friendly and customer-oriented Customer Service Agent to join our growing team. The role involves handling customer inquiries, providing accurate information, resolving issues, and ensuring a positive customer experience. The ideal candidate is a good communicator, patient, and able to handle multiple tasks efficiently.Job...

  • Customer Service Agents

    2 weeks ago

    Cebu City, Central Visayas, Philippines SVC PH Inc. Full time ₱240,000 - ₱360,000 per year

    Select VoiceCom is currently looking for Customer Service Agents to start ASAPSelect VoiceCom is an American and Australian-owned company providing call center services. While our main goal is to provide first-class service to all of our clients, this is directly linked to our goal of providing a great work environment that our employees can be proud of. We...

  • Customer Service Agents

    2 weeks ago

    Cebu City, Central Visayas, Philippines SVC (Select VoiceCom) Full time ₱280,000 - ₱420,000 per year

    Select VoiceCom is currently looking for Customer Service Agents to start ASAPSelect VoiceCom is an American and Australian-owned company providing call center services. While our main goal is to provide first-class service to all of our clients, this is directly linked to our goal of providing a great work environment that our employees can be proud of. We...

  • Healthcare Agent

    2 weeks ago

    Cebu City, Central Visayas, Philippines Stark Asia Solutions, Inc Full time ₱192,000 - ₱276,000 per year

    BE PART OF OUR GROWING TEAM in CEBU GOOD FOR NEWBIES :))Guaranteed 1 DAY hiring PROCESS WE have VIRTUAL OR WALK IN processLOCATION: Cebu IT ParkPOSITION: Customer Service Representative – Healthcare AssociateWORK SET-UP: Pure OnsiteSCHEDULE: Night ShiftSTART DATE: Urgent / ASAP(COMPENSATION & BENEFITS)- Up to 20,610 BASIC SALARY PLUS 2K ALLOWANCE( Depends...

  • Customer Service Healthcare Account

    2 weeks ago

    Lapu-Lapu City, Central Visayas, Philippines CPI Management Services Full time ₱250,000 - ₱500,000 per year

    About the role Join the dynamic team of CPI Management Services' as a Customer Service Healthcare Account. This full-time position is located in Lapu-Lapu City, Cebu, offering an exciting opportunity to provide exceptional customer service in the call centre and customer service industry.What you'll be doingHandling incoming calls and inquiries from...

  • CSR Agent-Healthcare Account

    2 weeks ago

    Cebu City, Central Visayas, Philippines Stark Asia Solutions, Inc Full time ₱144,000 - ₱288,000 per year

    URGENT HIRING: Customer Service Representatives – Healthcare AccountLocation: Cebu CityApplication Process: Walk-in or Virtual — your choiceWhy Join Us?Fixed Weekends OffSalary up to ₱24,000/monthGreat opportunity to grow in the healthcare industryQualifications:At least 1 year BPO experienceJob Types: Full-time, Permanent, Fresh graduatePay: Php24,...

  • Airline Customer Agent

    2 weeks ago

    Cebu City, Central Visayas, Philippines Stark Asia Solutions, Inc Full time ₱120,000 - ₱240,000 per year

    LOCATION: Cebu IT Park / TowerPOSITION: Customer Service Representative – AirlineWORK SET-UP: Pure OnsiteSCHEDULE: Night Shift / Shifting Schedule 24/7START DATE: Urgent / ASAPJOB DESCRIPTIONAirline Account- Reservation agents provide booking and reservation services to customers. These services may include booking airline tickets & Cancellations. They...

  • On-Site Call Center Agent for Voice Account

    2 weeks ago

    Cebu City, Central Visayas, Philippines ARAM ENTERPRISES INC Full time ₱200,000 - ₱400,000 per year

    About the role ARAM ENTERPRISES INC' is seeking an experienced On-Site Call Center Agent for Voice Account to join our dynamic team in Cebu Central Visayas. As a full-time Call Center Agent, you will be responsible for providing exceptional customer service and support to our valued clients over the phone.What you'll be doingHandle inbound calls from...

  • Customer Service Representative

    2 weeks ago

    Cebu City, Central Visayas, Philippines Ads Venture Full time ₱288,000 per year

    Job Description:We are looking for motivated and customer-focused Call Center Agents to join our growing team in Cebu City. As a Call Center Agent, you will handle customer interactions through phone calls, emails, or chat, providing outstanding service and support.Key Responsibilities:Handle inbound and/or outbound customer calls professionally and...

  • URGENT: Customer Service Representative

    2 weeks ago

    Cebu City, Central Visayas, Philippines Strategic Office Support Incorporated Full time ₱200,000 - ₱250,000 per year

    URGENT HIRING: Customer Service Representative – U.S. Healthcare AccountStart Date: November 27, 2025Location: Ebloc 3, Padriga St., IT Park, Apas, Cebu CitySchedule: Shifting (Aligned with U.S. Business Hours)Employment Type: Full-Time | On-Site | Paid TrainingGrow your BPO career and step into the healthcare industry. We are urgently hiring Customer...