Healthcare Benefits Advocate

Helpware Inc.; Cebu City; On-site; PHP 279,000 - 424,000; Full time

Job summary

Helpware Inc. in Cebu City, Philippines, is seeking a Member Services Advocate to deliver exceptional customer care for beneficiaries. You will update account details, explain plan benefits, and resolve utilization issues while maintaining accuracy and empathy.

The role requires at least an Associate Degree in Healthcare and 3+ years in a fast-paced call center or healthcare setting. You will work with multiple systems and uphold HIPAA standards.

Qualifications

• Associate degree preferred in healthcare or related field.
• Minimum 3 years in fast-paced, high-volume call center or healthcare hospitality.
• Strong written communication and problem-solving abilities.
• Ability to multi-task and maintain meticulous documentation.

Responsibilities

• Update account information (billing options, address, phone).
• Educate beneficiaries on plan benefits and cost sharing.
• Resolve issues related to plan utilization and claims processing.
• Handle inbound/outbound calls with high accuracy and efficiency.
• Escalate complex issues to management as needed.
• Maintain high call quality per client standards (target 95%).
• Communicate professionally with coworkers, management, and customers.

Skills

Customer service

Empathy

Active listening

Multi-tasking

Written communication

Problem solving

Attention to detail

MS Office

Excel

De-escalation

Phone presence

Communication

Navigate multiple systems

Education

Associate Degree in Healthcare

Tools

CRM software

Job description

Helpware Inc. in Cebu City, Philippines, is seeking a Member Services Advocate to deliver exceptional customer care for beneficiaries. You will update account details, explain plan benefits, and resolve utilization issues while maintaining accuracy and empathy.

The role requires at least an Associate Degree in Healthcare and 3+ years in a fast-paced call center or healthcare setting. You will work with multiple systems and uphold HIPAA standards.