Customer Service Representative

18 hours ago

Pasay, National Capital Region, Philippines JPRecruits Full time

We are seeking a Customer Service Representative (CSR) - PHRN with a strong clinical background to join our healthcare BPO team. The role involves supporting utilization management reviews, applying clinical guidelines, and ensuring quality patient care decisions in collaboration with healthcare providers and payers.

Key Responsbilities:

  • Conduct utilization management reviews using MCG and InterQual guidelines.
  • Assess medical documentation for appropriateness of care and coverage.
  • Provide accurate and timely communication to patients, providers, and payers.
  • Document case reviews and maintain compliance with organizational policies and regulatory standards.
  • Deliver excellent customer service in a healthcare BPO environment.
  • Support continuous improvement initiatives in patient care and utilization management processes.

Qualifications:

  • Licensed Pharmacist (PHRN)
  • Minimum 1 year of acute bedside experience (Medical-Surgical Ward, ICU, NICU, Emergency room and etc.)
  • Prior experience in Healthcare BPO or Utilization Management Review preferred.
  • Familiarity with MCG and InterQual guidelines.
  • BPO experience is a plus.
  • Good communication skills.

Job Type: Full-time

Pay: From Php45,000.00 per month

Benefits:

  • Paid training

Experience:

  • Acute Bedside: 1 year (Required)

License/Certification:

  • Licensed Philippine Registered Nurse (Required)

Work Location: In person

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines HRTX Full time ₱300,000 - ₱600,000 per year

    Job Description:We are seeking a dedicated and customer-focused Customer Service Representative (CSR) to join our team. The CSR will act as a liaison between the company and its customers, providing product/services information, resolving any emerging issues, and ensuring overall customer satisfaction. The ideal candidate is resourceful, empathetic, and...

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines HRTX Full time ₱264,000 - ₱420,000 per year

    We are seeking a dedicated and personable Customer Service Representative (CSR) to join our team. The ideal candidate will be responsible for handling customer inquiries, resolving complaints, and ensuring a high level of customer satisfaction. You will act as a liaison between the company and its clients, providing product/service information, and resolving...

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines HRTX Full time ₱30,000 - ₱60,000 per year

    We are seeking a detail-oriented and customer-focused Customer Service Representative (CSR) to join our team supporting an Auto Insurance Account. As a CSR, you will be the first point of contact for policyholders, providing assistance with policy inquiries, billing, claims support, and general insurance-related questions. Qualifications: At least High...

  • Customer Service Representative

    7 days ago

    Pasay, National Capital Region, Philippines MicroSourcing Full time ₱250,000 - ₱500,000 per year

    Discover 100% YOU with MicroSourcingPosition: Customer Service Representative (Dayshift) - Fixed Term (3 months)Location: MOA, Pasay Work Setup & Shift: Onsite | Dayshift Why join MicroSourcing?You'll have:Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash...

  • Customer Service Representative

    7 days ago

    Pasay, National Capital Region, Philippines VICTORIAN PLACEMENT AGENCY Full time ₱200,000 - ₱400,000 per year

    About the role This is an exciting opportunity to join the team at Victorian Placement Agency' as a Customer Service Representative. In this full-time role based in Pasay City Metro Manila, you will be the first point of contact for customers, providing excellent service and support. No prior experience is required as full training will be provided.What...

  • Customer Service Representative

    7 days ago

    Pasay, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time ₱200,000 - ₱250,000 per year

    About the role As a Customer Service Representative (CSR) - Healthcare Account for Access Healthcare Services Manila, Inc.', you will be the first point of contact for our clients in the healthcare industry. Working from our office in Pasay City, Metro Manila, you will be responsible for providing exceptional customer service and support to our valued...

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines Metacom Full time ₱288,000 per year

    Job Description:We're hiring Customer Service Representatives for easy accounts. No experience required Attend a virtual interview today and start working onsite.Responsibilities:Handle inbound customer callsProvide accurate information and resolve basic concernsMaintain professionalism and service qualityQualifications:18 years old and aboveHigh School...

  • Customer Service Representative

    7 days ago

    Pasay, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time ₱23,000 - ₱24,000 per year

    URGENT HIRING Join Our Team as a Customer Service Representative with Great Pay & BonusesLocation: Mall of Asia (MOA)Interview Mode: Zoom or Onsite (for onsite interviews, we offer same-day job offers with one-day processing)WHAT'S IN IT FOR YOU?Competitive Salary Package: Earn PHP 24,000 plus exciting bonusesFast Job Offers: Get hired on the spot and...

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines Metacom Full time ₱250,000 - ₱500,000 per year

    We're hiring Customer Service Representatives for our top BPO partners. Apply today and secure your virtual interview on November 13 — start your new job before ChristmasAvailable Sites: Makati, Alabang, Pasig, CebuWork Setup: Onsite | Full-timeQualifications:Senior High School graduate or aboveWith or without BPO experienceWilling to work onsiteWhat We...

  • Customer Service Representative

    5 days ago

    Pasay, National Capital Region, Philippines Conduent Full time

    Looking to set up your career, join our growing team as. CUSTOMER EXPERIENCE Representative(International Voice Account) – Financial Savings Account. With at least 6 months BPO EXPERIENCELocation: One E-Com, MOA Complex, Pasay (Onsite)Shifting schedules | target start date Nov. 20, 2025,Type: Full-time (Permanent/Probationary)Salary offers: ₱22K +...