Healthcare Associate/Representative (CSR)

HRTX; Cebu City; On-site; PHP 250,000 - 380,000; Full time

Job summary

HRTX in Cebu City is seeking a detail-oriented Healthcare Associate/Representative (CSR) to assist members and providers with billing and enrollment inquiries. You will process enrollments, handle billing concerns, and ensure accurate updates to member accounts.

The ideal candidate is SHS graduate or has two years of college, with 6–12 months of BPO experience; familiarity with healthcare plans and HIPAA compliance is preferred. Fresh graduates are welcome to apply.

Qualifications

• SHS graduate or 2 years in college with healthcare-related degree preferred.
• 6 months to 1 year BPO experience required; fresh grads welcome to apply.
• Knowledge of healthcare plans, benefits and insurance processes preferred.

Responsibilities

• Handle inbound and outbound calls, emails, or chat inquiries from members, providers, and other stakeholders regarding healthcare billing and enrollment.
• Process new enrollments, policy changes, and terminations accurately in accordance with company and regulatory guidelines.
• Address billing-related inquiries, including payment posting, invoice clarification, and account adjustments.
• Educate members on plan benefits, coverage details, and payment options.
• Maintain accurate and up-to-date records in the system, ensuring data integrity and compliance with HIPAA and other applicable regulations.

Skills

Customer service

Billing & enrollment

HIPAA knowledge

Education

SHS Graduate

Completed 2 years in college

Job description

About the job Healthcare Associate/Representative (CSR)

We are seeking a detail-oriented and customer-focused Healthcare Associate/Representative (CSR) with prior healthcare insurance experience, specializing in billing and enrollment. The role involves assisting members and providers with inquiries, processing enrollments, handling billing concerns, and ensuring accurate and timely updates to member accounts.

Responsibilities:

• Handle inbound and outbound calls, emails, or chat inquiries from members, providers, and other stakeholders regarding healthcare insurance billing and enrollment.
• Process new enrollments, policy changes, and terminations accurately in accordance with company and regulatory guidelines.
• Address billing-related inquiries, including payment posting, invoice clarification, and account adjustments.
• Educate members on plan benefits, coverage details, and payment options.
• Maintain accurate and up-to-date records in the system, ensuring data integrity and compliance with HIPAA and other applicable regulations.

Qualifications:

Educational Background: SHS Graduate and/or Completed 2 years in college; Preferably a Medical Allied Graduate (such as BSN, Pharmacy, and/or Physical Therapy)

Experience: At least 6 months to 1 year of BPO experience, fresh graduates are welcome to apply

Preferably with strong knowledge of healthcare plans, benefits and insurance processes.