Customer Service Representative - Healthcare

We are seeking a Customer Service Representative - Healthcare to provide exceptional patient support by handling inquiries, scheduling appointments, and resolving concerns with empathy and professionalism. The ideal candidate will have a background in healthcare customer service and a strong understanding of medical terminology, insurance processes, and patient confidentiality.

Key Responsibilities:

• Respond to patient inquiries via phone, email, and chat regarding appointments, billing, and medical services.
• Schedule, modify, and confirm patient appointments while ensuring accuracy in medical records.
• Provide insurance verification and claim assistance, guiding patients through billing processes.
• Maintain strict confidentiality and compliance with healthcare regulations (HIPAA).
• Address patient concerns and complaints with empathy and escalate complex cases when needed.
• Assist in processing referrals, medical authorizations, and prescription requests.
• Update and maintain accurate patient records in the healthcare system.
• Collaborate with doctors, nurses, and administrative staff to enhance patient satisfaction.
• Educate patients on medical procedures, healthcare plans, and wellness programs.
• Meet service quality and patient satisfaction standards set by the organization.

Requirements:

• High school diploma or a bachelor’s degree in Healthcare Administration, Business, or a related field.
• 1-3 years of experience in healthcare customer service, hospital administration, or a medical call center.
• Knowledge of medical terminology, insurance processes, and patient care procedures.
• Proficiency in healthcare management software (EHR, CRM) and Microsoft Office Suite.
• Strong communication and problem-solving skills with a patient-centric approach.
• Ability to handle sensitive patient information with discretion and professionalism.
• Willingness to work in rotational shifts, including weekends and holidays, if required.
• Multilingual skills (e.g., Arabic, Hindi, Tagalog) are a plus.