Healthcare Customer Service Advocate
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Healthcare Customer Service Advocate supporting U.S. healthcare members by handling inquiries and processing claims. Work remotely from Manila with focus on benefits and eligibility verification.
Responsibilities:
- 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
Report this job
Job expired or something wrong with this job?
Similar Jobs
Customer Success Analyst
Analista de Sucesso do Cliente na Agrosys, focando em maximizar a experiência do cliente. Monitorando a utilização do produto e oferecendo treinamentos para o sucesso do cliente.
Customer Care Specialist
Customer Care Specialist at Granicus handling escalated cases and executive customer relationships. Managing inquiries in a remote environment for a company transforming the Govtech industry.
Customer Experience, Usability Specialist – IT
Customer Experience Specialist at TestPros focusing on usability assessment and consulting to enhance customer engagement and satisfaction., Requires knowledge of CX, UI, UX, and accessibility guidelines.
Support Specialist I
Support Specialist I identifying and troubleshooting client incidents for CRIO, a leading provider of eSource solutions for clinical research. Engaging with teams and refining troubleshooting communication skills.
Customer Service Coordinator
Customer Service Coordinator researching debit memos and resolving customer inquiries in travel industry. Ensuring client satisfaction and improving service delivery processes.
Customer Service Advocate
Customer Service Advocate providing front-line support to Retail clients at ClearStar. Troubleshooting issues, managing client interactions, and ensuring high service standards.
Director, Customer Support
Director of Customer Support at Orderful managing Integration, Onboarding, and Post Go-Live Support operations. Aim to enhance customer experience and team accountability through AI-driven processes and scalable models.
Customer Service Representative – Luxury Retail, English
Customer Service Representative at TTEC serving luxury retail customers by answering inquiries and resolving issues. Full-time remote position for residents of Canada.
Customer Service Representative, Bilingual
Customer Service Representative providing bilingual support for Otter Products' clients via phone, email, and chat. Assisting consumers with warranties and product inquiries with a focus on a positive customer experience.
Sales Support Specialist, Customer Contact – Automotive Paint & Coatings
Technical Service Specialist providing support and technical assistance for Axalta automotive coating products. Engaging with customers, troubleshooting issues, and collaborating on R&D for new product launches.
Curriculum Development Support Specialist, Math Suite – Contract
Part-time contract position supporting K-5 mathematics curriculum development through independent and collaborative work. Requires 20-29 hours per week with opportunities for curriculum initiatives.
SaaS Support Specialist
SaaS Support Specialist ensuring customer success through remote software support and technical documentation. Engaging customer requests and translating feedback within the support team.
Product Support Specialist, Enterprise Informatics
Technical Support Specialist delivering expert-level support in a collaborative environment. Resolving complex product issues using strong technical knowledge and cross-functional collaboration.
Customer Support Specialist
Customer Support Specialist ensuring critical customer experience for agricultural tech ERP users. Resolving inquiries and problems to enhance customer retention and product quality.
Senior Customer Support Specialist, Escalations
Senior Customer Support Specialist resolving escalated customer issues and ensuring satisfaction for VIP accounts at CharterUP. Leading customer interactions and improving experience through problem-solving.
Customer Support Specialist
Customer Support Specialist assisting with inquiries and resolving issues for CharterUP's customer base. Collaborate with various teams to deliver a seamless customer experience in a remote-first environment.
Customer Support Associate
Customer Support Associate II at The Common Market assisting partners with inquiries and support. Remote role ensuring customer satisfaction through effective communication and problem resolution.
Customer Support Associate, Mandarin
Supplier Support Associate helping secure compliance in client’s sustainable supply chains. Engaging with suppliers via multiple channels and fluent Mandarin required.
Patient Support Representative
Patient Support Representative managing patient inquiries via live chat and email for healthcare products. Providing accurate information and ensuring customer satisfaction within the healthcare sector.
Product Support Specialist – Tier 1, Tier 2
Product Support Specialist ensuring the reliability of a cutting-edge SaaS platform. Serve as a technical expert, diagnosing complex issues and supporting customer success.