Healthcare Customer Service Associate (Philippines)

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

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.

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 bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.