Healthcare Associate (Voice, Hybrid)

UST; Taguig; On-site; PHP 279,000 - 468,720; Full time

Job summary

UST is seeking a Customer Service Associate to provide exceptional service to UST customers via inbound call center operations. You will handle inquiries, document calls, and coordinate with providers through ticketing systems.

The role requires a high school degree, at least 1 year in healthcare claims or call centers, and strong communication and data skills. Knowledge of Medicare/Medicare Advantage is a plus, with proficiency in MS Word and Excel.

Qualifications

• High school degree required.
• At least 1 year experience in Healthcare claims operations or Call Center environment.
• Knowledge of Medicare/ Medicare Advantage plans an advantage.
• Maintain a full comprehensive understanding of the covered plan benefits.

Responsibilities

• Receive and respond to inbound phone calls for customer assistance
• Respond to outbound phone call requests
• Document all calls in ticketing and tracking systems
• Respond to customer inquiries and provide data to customers within a required time frame
• Act as liaison between claims department and providers
• Research customer claims in the primary payor systems
• Ensure highest level of customer service on every call
• Perform other duties as assigned or necessary

Skills

Claims Management

Customer Support

Issue Analysis

Medicare Advantage

Attention to Detail

English Communication

Medicare

Microsoft Excel

Microsoft Office

Ticketing Systems

Education

High school degree

Job description

Role Description

The Customer Service Associate provides exceptional customer service to the UST customers via inbound Call Center Operations.

Responsibilities

• Receive and respond to inbound phone calls for customer assistance
• Respond to outbound phone call requests
• Document all calls in ticketing and tracking systems
• Respond to customer inquiries and provide data to customers within a required time frame
• Act as liaison between claims department and providers
• Research customer claims in the primary payor systems
• Ensure highest level of customer service on every call
• Perform other duties as assigned or necessary

Qualifications

• High school degree required
• At least 1 year experience in Healthcare claims operations or Call Center environment
• Knowledge of Medicare/ Medicare Advantage plans an advantage
• Maintain a full comprehensive understanding of the covered plan benefits
• Excellent verbal and written communication skills.
• Attention to detail and problem-solving skills
• Basic understanding of MS Office applications, especially Word and Excel

Key Skills

• Claims Management
• Customer Support
• Issue Analysis
• Medicare Advantage
• Attention to Detail
• English Communication
• Medicare
• Microsoft Excel
• Microsoft Office
• Ticketing Systems