Remote Customer Service Advocate - Provider Enrollment

Overview

The Customer Service Advocate – Provider Enrollment manages and coordinates provider enrollment services for healthcare Providers and Practices while maintaining strong relationships with Payers and Networks.

In Short

• Monitor and maintain enrollment and credentialing documents within the Enrollment database.
• Coordinate with Providers to ensure enrollment complies with specific Payer requirements.
• Organize, label, and maintain enrollment applications and supporting documentation.
• Prepare and document credentialing packages prior to submission to Payers.
• Submit enrollment applications to Payers as needed.
• Train Providers and office staff on the use of enrollment application tools.
• Ensure compliance with all Federal, State, and organizational policies.
• Deliver exceptional internal and external customer service.
• Maintain strict confidentiality and adhere to data security standards.
• Use secure communication channels when transmitting information.

Requirements

• Associate degree or equivalent experience preferred.
• 2+ years in BPO Healthcare with focus on Provider Enrollment service.
• Strong knowledge of healthcare processes, medical/dental claims, ICD-9 & ICD-10 coding.
• Basic credentialing knowledge and familiarity with industry standards.
• Excellent analytical, organizational, and time management skills.
• Tech-savvy: proficient in MS Office and online systems.
• Ability to work flexible shifts, including nights and weekends.
• Must reside in Metro Manila or nearby provinces.
• Strong multi-tasking skills and able to adapt to changing priorities.
• High attention to detail and accuracy.

Benefits

• Work Remotely.
• 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.
• Immediate Hiring – Start ASAP and make an impact from day one.