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Healthcare Customer Support Representative (Work-In-Office)

TORCH Solutions · Davao, Davao Region, Philippines

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About The OpportunityA fast-growing healthcare BPO organization operating across the Philippines, we partner with leading US-based health systems and insurance providers to deliver mission-critical patient support services. Our team ensures seamless care coordination, billing assistance, and eligibility verification—delivering empathetic, compliant, and high-touch customer experiences that directly impact patient outcomes and operational efficiency.Role & ResponsibilitiesProvide frontline phone and email support to patients and providers regarding eligibility, claims, billing, and appointment coordination.Accurately document interactions in EHR/CRM systems and escalate complex cases to clinical or billing specialists.Adhere strictly to HIPAA, HITECH, and client-specific compliance protocols for handling protected health information (PHI).Resolve inquiries with empathy and accuracy, maintaining high CSAT and first-call resolution (FCR) benchmarks.Collaborate with cross-functional teams to streamline workflows, reduce patient friction, and improve service delivery.Participate in ongoing training on new healthcare policies, payer guidelines, and system updates.Skills & QualificationsAtleast a HS/SHS graduate + at least 6 months BPO ExperienceHealthcare Customer ServiceClaims & Eligibility VerificationCall Center OperationsExperience with Epic or CernerSpanish Language ProficiencyAuthorization & Prior Approval Process KnowledgeBenefits & Culture Highlights-Night differential pay for work rendered during night shifts.HMO Benefits with the option to enroll up to five (5) dependents via salary deduction;some accounts may offer free dependent coverage.Take advantage of up to 30 days of paid leave annually, with 21 days convertible to cash.Access free emergency medicines and onsite medical services to support your well-being.Compensation24k PackageSign-on bonus: ₱15,000, paid in two tranches - 50% after 90 days and the remaining 50% after 180 daysSkills: bpo,customer service,healthcare