Healthcare Customer Service Advocate - Remote

Overview

As a Healthcare Customer Service Advocate, you’ll be the trusted voice for our members, providers, and partners—delivering expert guidance on medical and dental claims, benefits, and coverage.

In Short

• Be the first point of contact for members, providers, and partners.
• Deliver clear, accurate information on coverage and benefits.
• Handle a high volume of claims efficiently and accurately.
• Document every interaction with precision and care.
• Support members through grievances and appeals.
• Stay informed about products, policies, and industry trends.
• Collaborate with internal departments to resolve inquiries.
• Maintain compliance with HIPAA standards.
• Assist members with website navigation and troubleshoot issues.
• Work from home with specific requirements for internet and workspace.

Requirements

• Associate degree or equivalent experience preferred.
• 2+ years in BPO Healthcare with focus on Provider Services.
• Strong knowledge of healthcare processes and coding.
• Excellent multitasking and communication skills.
• High attention to detail and accuracy.
• Proficient in MS Office and online systems.
• Ability to work flexible shifts.
• Located in or near Manila preferred.

Benefits

• Remote setup with competitive pay.
• Comprehensive HMO coverage (Medical & Dental).
• Equipment provided for work.
• Career growth opportunities.
• Immediate hiring to start making an impact.