Healthcare Expert | 6 mos BPO EXP Needed

apartmentMetacom Business Process Outsourcing Solutions Inc. placeIloilo calendar_month 

METACOM BUSINESS PROCESS OUTSOURCING SOLUTIONS INC.

Is currently looking for:

Healthcare Customer Service Representative

Iloilo City | Onsite | Shifting Schedule

Job Purpose (PBH-focused)

You will be responsible for delivering accurate, empathetic, and efficient support to healthcare members by resolving inquiries, explaining benefits, and ensuring a smooth service experience while maintaining compliance with healthcare guidelines.

Key Job Responsibilities (What success looks like in the role)
  • Handle inbound and/or outbound healthcare-related inquiries with accuracy, empathy, and professionalism
  • Resolve member concerns related to benefits, claims, eligibility, and coverage within defined service standards
  • Document all interactions clearly and accurately in the system to ensure end-to-end case resolution
  • Meet or exceed performance metrics such as AHT, FCR, QA scores, and customer satisfaction (CSAT)
  • Follow compliance standards and healthcare regulations in every interaction
  • Coordinate with internal teams to ensure timely resolution of escalated cases
  • Demonstrate ownership of customer concerns until full resolution is achieved
Performance Expectations (How success is measured)
  • High First Call Resolution (FCR) rate
  • Consistently meeting Quality Assurance (QA) standards
  • Maintaining acceptable Average Handling Time (AHT) without compromising service quality
  • Strong Customer Satisfaction (CSAT) scores
  • Low escalation and repeat call rates

Qualifications (Based on demonstrated ability, not just credentials)

Must-Have:

  • At least 2nd year college undergraduate (any course)
  • Minimum 6 months of BPO experience in a healthcare account
  • Strong English communication skills (spoken and written)
  • Ability to handle high-volume customer interactions in a fast-paced environment
  • Willingness to work on shifting schedules and on-site in Iloilo City

Preferred Strengths (Success Indicators):

  • Experience handling healthcare insurance, claims, or benefits inquiries
  • Strong problem-solving and critical thinking skills
  • Ability to stay calm and empathetic in difficult customer situations
  • Detail-oriented with strong documentation skills
  • Proven ability to meet performance metrics in a BPO setting
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