Healthcare Services Representative

We are seeking a compassionate, detail-oriented, and customer-focused Healthcare Services Representative to join our team. In this role, you will provide exceptional support to healthcare members by assisting with inquiries related to health plans, benefits, claims, eligibility, billing, and other healthcare services. You will ensure every customer interaction is handled with professionalism, empathy, and accuracy while delivering a positive customer experience.

Key Responsibilities

• Respond to customer inquiries regarding healthcare plans, benefits, eligibility, claims, billing, and provider information.
• Assist members in understanding their healthcare coverage and available services.
• Resolve customer concerns efficiently and escalate complex issues when necessary.
• Accurately document customer interactions and update account information in company systems.
• Maintain confidentiality of customer information and comply with healthcare regulations and company policies.
• Meet quality, productivity, and customer satisfaction targets.
• Work collaboratively with internal teams to ensure timely resolution of customer concerns.
  
  

• College graduates are welcome to apply (no BPO experience required).
• College undergraduates or High School graduates must have at least 6 months of BPO or customer service experience.
• Excellent verbal and written English communication skills.
• Strong customer service, problem-solving, and interpersonal skills.
• Basic computer proficiency and typing skills.
• Willing to work onsite and on shifting schedules, including weekends and holidays when required.
• Ability to multitask and thrive in a fast-paced environment.
  
  

• Competitive salary and performance-based incentives.
• Paid training and continuous learning opportunities.
• Health and wellness benefits.
• Career growth and advancement opportunities.
• Supportive, collaborative, and inclusive work environment.