
Healthcare Customer Service Advocate
Imagenet LLC
full-time
Posted on:
Location Type: Remote
Location: Philippines
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Salary
💰 ₱30,000 - ₱35,000 per month
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 & Tools
medical claims processingeligibility verificationbenefits inquiriesMedicare processespatient care protocols
Soft Skills
strong English communicationactive listeningmultitaskingattention to detaildiscretion
Certifications
high school diplomacollege degree