
Healthcare Customer Service Advocate
Imagenet LLC
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇵🇭 Philippines
Visit company websiteSalary
💰 ₱30,000 - ₱35,000 per month
Job Level
JuniorMid-Level
About the role
- Support U.S. healthcare members by handling benefits inquiries, eligibility verification, and medical claims processing.
- Handle inbound and outbound calls related to healthcare benefits, eligibility, and medical claims.
- Explain claims status, denials, EOBs, and coverage limitations to members.
- Research and resolve claims-related concerns using internal healthcare systems.
- Accurately document interactions and resolutions in CRM tools.
- Meet defined productivity, quality, and HIPAA compliance standards.
Requirements
- High school diploma or equivalent; college degree preferred.
- Minimum 2 years' experience in healthcare BPO, call center, or healthcare customer service
- Familiarity with Medicare processes and patient care protocols is a plus.
- Working healthcare knowledge of benefits, eligibility, and medical claims processing
- Strong English communication, active listening, and multitasking skills
- High attention to detail and discretion when handling sensitive information
- Able to perform in a high-volume, deadline-driven environment
- Proficiency in computer systems and CRM tools.
- Willing to work on shifting schedules, graveyard shift, holidays and weekends if required.
- Candidate residing in Manila or nearby provinces is preferred.
- Can start ASAP.
Benefits
- Competitive Pay + 13th Month Salary
- Comprehensive HMO Coverage (Medical & Dental)
- Equipment Provided – Everything you need to succeed
- Career Growth – Be part of a dynamic and supportive team that values your expertise
- Immediate Hiring – Start ASAP and make an impact from day one
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical claims processingeligibility verificationbenefits inquiriesMedicare processespatient care protocols
Soft skills
strong English communicationactive listeningmultitaskingattention to detaildiscretion
Certifications
high school diplomacollege degree