Healthcare Claims Associate

WHR Global Consulting

Boleh Dirunding
Di lokasi - Muntinlupa1 - 3 Tahun PengalamanSarjana MudaSepenuh-masa
Kongsi

Keterangan Kerja

Manfaat

  • Faedah Mandat Kerajaan

    Gaji Bulan ke-13

  • Insurans Kesihatan & Kesejahteraan

    Insurans Kesihatan, HMO

  • Faedah Tambahan

    Tempat Letak Kereta

  • Pembangunan Profesional

    Latihan Pekerjaan

  • Cuti & Pelepasan

    Cuti Sakit, Curi Percutian

Baca Lebih Lanjut

Work Set-Up: ONSITE

Work Schedule: Nightshift schedule

Work Location: Onsite – Alabang Corporate Center

Salary: Php: 30,000

  • 15% Night Diff
  • HMO Day 1 and 1 free dependent


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.



Job Summary

  • We are looking for experienced and detail-oriented Medical Claims 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.


Preview

Wayne Lipardo

FounderWHR Global Consulting

Aktif dalam masa tiga hari

Tempat Bertugas

Alabang. Alabang, Muntinlupa, Metro Manila, Philippines

Disiarkan pada 07 November 2025

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