Healthcare Support Specialist - Night Shift & HMO Benefits

TORCH Solutions; Philippines; On-site; PHP 244,000 - 292,000; Full time

Benefits offered by this job

Night differential pay

HMO with dependents option

Up to 30 days paid leave annually

Free emergency medicines and onsite医疗

Job summary

TORCH Solutions is a fast-growing healthcare BPO delivering patient support with a focus on care coordination, billing assistance, and eligibility verification across the Philippines.

We seek a motivated healthcare customer service specialist to handle frontline inquiries, document interactions, and collaborate with cross-functional teams to improve service delivery while maintaining strict PHI compliance.

Qualifications

• HS/SHS graduate with at least 6 months BPO experience is required.
• Healthcare customer service experience preferred.
• Knowledge of claims, eligibility verification, and HIPAA-compliant processes is required.

Responsibilities

• Provide frontline phone and email support to patients and providers regarding eligibility, claims, billing, and appointment coordination.
• Document interactions in EHR/CRM systems and escalate complex cases to clinical or billing specialists.
• Adhere to HIPAA, HITECH, and client-specific PHI compliance protocols.

Skills

Healthcare Customer Service

Claims & Eligibility Verification

Call Center Operations

Epic or Cerner

Spanish Language Proficiency

Authorization & Prior Approval Process

Education

HS/SHS graduate

Tools

Epic

Cerner

Job description

TORCH Solutions is a fast-growing healthcare BPO delivering patient support with a focus on care coordination, billing assistance, and eligibility verification across the Philippines.

We seek a motivated healthcare customer service specialist to handle frontline inquiries, document interactions, and collaborate with cross-functional teams to improve service delivery while maintaining strict PHI compliance.