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

Balas Hari Ini 3 Kali

Tempat Bertugas

Alabang. Alabang, Muntinlupa, Metro Manila, Philippines

Disiarkan pada 07 November 2025

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