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Open nowFirst seen 39 hours ago

Customer Service Representative

PM Consulting1,469 open roles

Where
Cebu City, Cebu, Philippines
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Your applicationOpen nowCustomer Service RepresentativePM Consulting · Cebu City, Cebu, Philippines
  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on PM Consulting's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

11.8% of postings close within 7 days. Measured by our own scanner across the market. PM Consulting postings stay open a median of 1 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.4%3 days
  3. 11.8%7 days
  4. 18.6%14 days
  5. 35.6%30 days
  6. 45.1%60 days
This job: first seen 39 hours ago

PM Consulting median: 1 days open

The posting

We are looking for a Healthcare Customer Service Representative / Medical Associate who will provide professional and compassionate support to patients, members, healthcare providers, and other stakeholders. The role involves handling healthcare-related inquiries, assisting with account or insurance concerns, providing accurate information, and ensuring a positive customer experience.

The ideal candidate has strong communication skills, attention to detail, and a basic understanding of healthcare processes, medical terminology, or health insurance.

Key Responsibilities

  • Handle inbound and/or outbound calls, emails, and chat inquiries from patients, members, healthcare providers, or clients.
  • Assist customers with healthcare-related inquiries, account concerns, benefits, claims, eligibility, billing, or medical services.
  • Provide accurate and timely information while following established healthcare policies and procedures.
  • Verify and update patient/member information in accordance with company processes.
  • Explain healthcare benefits, coverage, eligibility, claims status, and other account-related information when applicable.
  • Coordinate with internal teams, healthcare providers, or other departments to resolve customer concerns.
  • Document all customer interactions, requests, and resolutions accurately in the appropriate systems.
  • Escalate complex or sensitive concerns to the appropriate team or department.
  • Maintain confidentiality of patient and customer information in accordance with company policies and applicable privacy requirements.
  • Meet established performance, quality, productivity, attendance, and customer satisfaction targets.
  • Follow standard operating procedures, compliance requirements, and quality guidelines.
  • Perform other healthcare customer service-related tasks as assigned.

Qualifications

  • Open to fresh graduates or with at least 1 year of experience in Customer Service, Healthcare BPO, Medical BPO, Insurance, Claims, or a related field preferred.
  • Healthcare, medical insurance, claims, or provider services experience is an advantage.
  • Basic knowledge of medical terminology, healthcare processes, insurance, claims, or benefits is preferred.
  • Excellent verbal and written communication skills.
  • Strong active listening and customer service skills.
  • Good problem-solving and critical-thinking abilities.
  • Detail-oriented with strong documentation and organizational skills.
  • Comfortable using multiple computer systems and applications.
  • Willing to work shifting schedules, weekends, holidays, and night shifts as required.
  • Willing to work onsite based on business requirements.
  • High school diploma or equivalent; college-level education or a healthcare-related background is an advantage.

Preferred Skills

  • Healthcare customer service experience
  • Medical terminology
  • Health insurance / claims knowledge
  • Benefits and eligibility verification
  • Provider or member services
  • Strong communication and interpersonal skills
  • Data entry and documentation
  • Problem-solving and multitasking
  • Ability to handle sensitive customer concerns professionally
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