Healthcare Claims Support Specialist

HealthEdge; Manila; On-site; PHP 286,000 - 350,000; Full time

Job summary

HealthEdge is seeking a Customer Service Associate to provide exceptional support to UST customers via inbound call center operations. The service center operates 8am-6pm EST USA with related schedules.

Responsibilities include handling inbound/outbound calls, documenting interactions, and liaising between claims and providers while maintaining high service standards. Candidates should have 1-2+ years in healthcare claims or call centers and strong communication skills.

Qualifications

• High school degree required.
• 1-2+ years in healthcare claims operations or call center environment.
• Knowledge of Medicare/Medicare Advantage plans is a plus.
• Maintain full understanding of covered plan benefits.
• Excellent verbal and written communication skills.
• Attention to detail and problem-solving skills.

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 within 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

Customer service

Verbal communication

Written communication

Attention to detail

Problem solving

Education

High School Diploma

Tools

MS Word

MS Excel

Job description

HealthEdge is seeking a Customer Service Associate to provide exceptional support to UST customers via inbound call center operations. The service center operates 8am-6pm EST USA with related schedules.

Responsibilities include handling inbound/outbound calls, documenting interactions, and liaising between claims and providers while maintaining high service standards. Candidates should have 1-2+ years in healthcare claims or call centers and strong communication skills.