Healthcare Service Advocate

Imagenet LLC

Customer Service Advocate responsible for enhancing provider support regarding healthcare claims and payments. Handling inquiries and ensuring compliance with company policies.

Posted 7/2/2026full-timeRemote • 🇵🇭 PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare claims processing, provider services, and customer support, with a strong focus on accuracy and attention to detail. Proficient in managing provider inquiries and resolving issues while adhering to established guidelines and quality standards.

Highest-signal resume keywords

Healthcare Claims ProcessingProvider Services ExperienceCustomer Service ExcellenceAnalytical SkillsMS Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims SupportEOB ReviewAppeals ProcessingPayment ProcessesResearch Skills

Soft Skills

MultitaskingOrganizational SkillsCommunication SkillsAttention to Detail

Tools & Technologies

MS OfficeOnline Systems

Industry Keywords

HealthcareContact CenterProvider InquiriesQuality Standards

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