Healthcare Member Support Specialist

Valor Global, Inc.; Biñan; On-site; PHP 201,000 - 312,000; Full time

Job summary

Valor Global, Inc. in the Philippines (Laguna region) seeks a Healthcare Member Services specialist to support members with plan coverage, benefits, and enrollment, delivering clear explanations and empathetic service.

You will review medical billing statements, investigate discrepancies, and document member interactions across multiple healthcare data platforms, while adhering to HIPAA and security policies. 1–2 years in healthcare BPO preferred, Salesforce experience advantageous.

Qualifications

• 1–2 years in a BPO environment handling healthcare member services.
• Experience with Benefits & Claims, Billing & Enrollment, or both.
• Experience with medical billing terminology.
• Proficiency in CRM systems; Salesforce preferred.
• Strong English verbal and written communication.
• High school diploma required; higher degree preferred.

Responsibilities

• Serve as frontline support for healthcare members, answering inquiries regarding plan coverage, benefits, and enrollment with empathy and clarity.
• Review, investigate, and explain complex medical billing statements, claims statuses, and payment discrepancies to members.
• Research and document all member interactions accurately across multiple data platforms and healthcare databases.
• Maintain strict adherence to HIPAA and company security protocols during every interaction.

Skills

Healthcare Member Services

Benefits & Claims

Billing & Enrollment

CRM systems

Salesforce

English communication

Multitasking

Data privacy

Education

High School Diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Salesforce

Job description

Valor Global, Inc. in the Philippines (Laguna region) seeks a Healthcare Member Services specialist to support members with plan coverage, benefits, and enrollment, delivering clear explanations and empathetic service.

You will review medical billing statements, investigate discrepancies, and document member interactions across multiple healthcare data platforms, while adhering to HIPAA and security policies. 1–2 years in healthcare BPO preferred, Salesforce experience advantageous.