job description
Are you looking to make a meaningful impact while growing your career in the healthcare sector? Smoothmoves is urgently hiring a Healthcare Customer Service Representative (CSR) to join our supportive, high-performing team in Taguig City. If you are passionate about helping others, possess exceptional communication skills, and are ready to start immediately, this is the perfect opportunity for you!
In this role, you will serve as the vital link between healthcare providers, insurance members, and patients. You will handle inquiries regarding medical benefits, claims status, pre-authorizations, and general health plans. We understand the value of our team members, which is why we offer a competitive monthly salary of ₱28,000, comprehensive health insurance (HMO) with dependents coverage, and flexible working arrangements designed to promote a healthy work-life balance.
At Smoothmoves, we foster a collaborative, inclusive, and growth-oriented workplace culture. We provide industry-leading training, continuous upskilling opportunities, and clear pathways for career advancement. Whether you have extensive healthcare BPO experience or a strong background in customer service with a desire to learn, we welcome you to apply and start your journey with us today!
Responsibility
- Handle inbound and outbound inquiries from patients, healthcare providers, and policyholders with empathy and professionalism.
- Assist members in understanding their health insurance benefits, coverage limits, co-pays, and claim status.
- Accurately document all customer interactions, inquiries, and resolutions in the secure healthcare database system.
- Coordinate with billing, claims, and medical review departments to resolve complex cases and appeals.
- Ensure strict compliance with HIPAA guidelines and healthcare data privacy regulations at all times.
- Provide basic technical support for member portals and online healthcare tools.
- Achieve and maintain key performance indicators (KPIs) including First Call Resolution (FCR) and Customer Satisfaction (CSAT) scores.
Qualifications
- At least 1 year of experience in a BPO or Call Center environment (Healthcare or Medical account experience is highly preferred).
- Excellent verbal and written English communication skills.
- Strong active listening skills and a high level of empathy for patient care.
- Basic knowledge of medical terminology, medical billing, or health insurance processes is a distinct advantage.
- Proficiency in computer navigation, multi-tasking, and standard CRM tools.
- Amenable to working on-site in Taguig City and flexible with shifting/night schedules.
- High school graduate or equivalent (College degree in Nursing, Allied Health, or related field is a plus).
- Must be ready to start immediately (ASAP).