Healthcare Customer Service Associate (Philippines)

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

Job summary

HealthEdge is hiring a Healthcare Customer Service Associate in the Philippines. You will handle inbound calls for UST customers, document interactions, and coordinate with the claims team to resolve inquiries within set timeframes.

A high school diploma and 1-2+ years in healthcare claims or call centers are required. Role operates onsite in PH with potential hybrid/remote flexibility depending on business needs.

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.
• Excellent verbal and written communication 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 primary payor systems.
• Maintain highest level of customer service on every call.
• Perform other duties as assigned.

Skills

Verbal communication

Written communication

Attention to detail

Problem-solving

Multitasking

Education

High school diploma

Tools

MS Word

MS Excel

Job description

Healthcare Customer Service Associate (Philippines)

Job Locations: PH-Manilla

ID: 2026-8443

Category: Customer Service/Support

Position Type: Full-Time

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

Overview:

Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations. The service center will be open from 8am-6pm EST USA and will occur related schedules.

Duties/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
• Required Skills/Abilities
• High school degree required
• 1-2+ experience in Healthcare claims operations or Call Center environment
• Desired Skills include: Knowledge of Medicare/ Medicare Advantage plans
• 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.

Geographic Responsibility: Onsite, Philippines

Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Work across multiple time zones in a hybrid or remote work environment.
• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

** The annual Philippines base salary range for this position is PHP $286,000 to PHP $350,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.