Job description
Join Sagility, a leading healthcare BPO partner, as a Healthcare Customer Service Representative in Iloilo. If you have at least 1 year of BPO experience and a passion for delivering accurate, compliant, and compassionate service to healthcare clients, this role is for you. This is a full-time position with competitive compensation up to ₱23,000 per month, plus a 20% differential and performance-based bonuses.
As a Healthcare CSR, you will be the frontline liaison for patients and providers, handling inquiries related to claims, billing, and account information. You will interpret complex information, ensure data accuracy, and follow established policies to protect patient privacy and security. Sagility supports ongoing development and career growth in the healthcare BPO space, with a collaborative team environment in Iloilo.
In this role, you’ll gain exposure to medical billing and claims processing, while partnering with cross-functional teams to resolve discrepancies and deliver excellent service. We value compliant, data-driven support and provide the tools and training to help you succeed. Ideal candidates are fluent in English, comfortable using CRM systems and healthcare software, and capable of multitasking in a dynamic call-center setting.
As part of our Iloilo team, you’ll work in a modern, supportive environment with mentorship and opportunities to advance. Sagility emphasizes privacy, data integrity, and patient-centric service, aligning with healthcare industry standards. If you’re goal-driven, customer-focused, and looking to build a stable career in healthcare support, this is the role for you.
Responsibility
- Respond to inbound calls and inquiries from healthcare clients about claims, billing, and account information.
- Verify patient demographics and insurance details; accurately update records in the CRM.
- Process and track claims, reimbursements, and billing adjustments following policy guidelines.
- Resolve customer concerns with empathy, aiming for first-contact resolution when possible.
- Escalate complex cases to supervisors with complete documentation and clear next steps.
- Maintain strict data privacy and governance in line with healthcare regulations.
- Collaborate with clinical and billing teams to resolve discrepancies and improve processes.
- Document interactions and outcomes in the case management system; meet established KPIs and service levels.
Qualification
- Minimum 1 year of BPO or healthcare customer service experience.
- Excellent English communication skills (verbal and written).
- Experience with medical billing, claims processing, or payer policies.
- Proficiency with CRM systems and healthcare software.
- Strong data entry skills, attention to detail, and numerical accuracy.
- Ability to multitask, troubleshoot, and resolve issues calmly in a fast-paced environment.
- Willingness to work full-time in a shift-based schedule.
- High school diploma required; college degree preferred.