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Healthcare Service Advocate
Imagenet LLCCustomer Service Advocate responsible for enhancing provider support regarding healthcare claims and payments. Handling inquiries and ensuring compliance with company policies.
About the role
Key responsibilities & impact- Handle healthcare providers regarding claims, payments, appeals, and other account-related inquiries.
- Respond to provider inquiries received via E-Mail, Fax, and web requests in a timely and professional manner.
- Provide accurate claim status updates and explain claim outcomes based on company guidelines.
- Resolve provider concerns by researching claim information and coordinating with internal departments when necessary.
- Deliver exceptional customer service while meeting established quality and productivity standards.
- Review claims requiring additional research, reprocessing, or finalization.
- Process faxed claims and review Explanation of Benefits (EOBs).
- Verify claim information and ensure requests are handled accurately.
- Escalate complex issues following established procedures.
- Provide status updates on provider appeals and request additional information when necessary.
- Process requests for upheld and late submission letters.
Requirements
What you’ll need- High school diploma or equivalent; college degree is an advantage.
- At least 4 years of experience in healthcare contact center, provider services, or claims support environment.
- Basic knowledge of healthcare claims, EOBs, appeals, and payment processes is an advantage.
- Excellent analytical, multitasking, organizational, and communication skills with strong attention to detail and accuracy.
- Tech-savvy, with proficiency in MS Office and online systems.
- Ability to work flexible shifts, including nights, weekends, and holidays.
- Must be located in or near Manila (preferred).
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims SupportEOB ReviewAppeals ProcessingPayment ProcessesResearch Skills
Soft Skills
MultitaskingOrganizational SkillsCommunication SkillsAttention to Detail