Healthcare Associate (US Medical Claims)

Healthcare Associate (US Medical Claims)

Location : Alabang Corporate Center

Work Set Up : Full time, Night Shift

Salary : ₱ 30,000 + 15% Night Diff + HMO Day 1 and 1 free dependent

Job Summary :

We are looking for experienced and detail-oriented Healthcare Business Associates to join our growing contact center team in Alabang. The ideal candidates will have a strong background in healthcare BPO operations, particularly in handling inbound calls related to medical claims, eligibility verification, and claim status updates. You will serve as a key liaison between patients, providers, and insurance companies, ensuring accurate, efficient, and customer-focused service delivery.

Key Responsibilities :

Handle inbound calls from patients, providers, and insurance representatives regarding medical claims, eligibility, and benefits.

Review, interpret, and explain claim denials and status updates in a clear and professional manner.

Accurately document all call interactions and actions taken in the system.

Ensure compliance with HIPAA and other healthcare privacy standards.

Collaborate with internal teams to resolve claim discrepancies or process issues.

Maintain a high level of accuracy and attention to detail in all transactions.

Meet or exceed daily, weekly, and monthly performance targets.

Continuously update knowledge of medical terminology, insurance policies, and claim processing protocols.

Qualifications :

Bachelor’s Degree in any field.

At least 2 years of experience in a Healthcare BPO environment.

Proven experience handling inbound calls within a healthcare account.

Familiarity with medical claims, eligibility verification, and denial management processes.

Strong command of medical terminology.

Excellent verbal and written communication skills.

Strong interpersonal and customer service skills.

Ability to work independently with minimal supervision.

High level of accuracy, attention to detail, and organizational skills.

Proficient in Microsoft Office and other computer application systems. B2B sales experience is preferred

Benefits : 15% Night Diff

HMO Day 1 and 1 free dependent

Competitive compensation package

Stable career opportunity in a growing healthcare account

Supportive work environment with professional growth opportunities

Convenient Alabang location with night shift premium benefits