Experienced Customer Service Representative Handling Medical
Metro Manila
Hi! I’m John Mike, a reliable and results-driven Healthcare Customer Service and Medical Billing Specialist with BPO experience. I specialize in handling calls and inquiries involving medical payments, COB, EOB, offsets, claim denials, and provider concerns. I bring strong communication skills, attention to detail, professionalism, and the ability to handle challenging conversations calmly and efficiently. I understand how important accuracy, confidentiality, and excellent customer service are in healthcare. What sets me apart is my commitment to getting the job done right, learning quickly, and treating every client and customer with respect. If you’re looking for someone dependable, organized, and dedicated to delivering quality results, I’d be happy to work with you!
Sagility, full_time
Dec 2025 to Aug 2026
Medical Billing / Healthcare Customer Service Representative Handle inbound calls from providers, patients, and healthcare representatives regarding payment and claims-related inquiries. Provide accurate information about payments, Coordination of Benefits (COB), Explanation of Benefits (EOB), offsets, and claim denials. Responsibilities include: Explain payment details, claim status, and reimbursement information clearly and accurately. Assist with COB inquiries and verify which insurance should be considered primary or secondary. Explain EOBs, including allowed amounts, patient responsibility, deductibles, copayments, coinsurance, and insurance payments. Handle inquiries regarding payment offsets, adjustments, and applied balances. Review and explain medical claim denials, including denial reasons and applicable next steps. Research claims and account information using healthcare systems and available documentation. Communicate professionally with providers and customers while protecting confidential patient information. Document every call accurately and follow company policies, HIPAA requirements, and quality standards. Escalate complex billing, claims, or denial issues to the appropriate department when necessary.