Member Care Specialist: Benefits & Support

Helpware Inc.; Hinoba-an; On-site; PHP 279,000 - 391,000; Full time

Job summary

Helpware Inc. in the Philippines seeks a Member Services Advocate to transform customer service into exceptional care for beneficiaries. You will assist with updating accounts, educating on benefits, and resolving plan-related issues with attention to security and accuracy.

You will handle inbound/outbound calls, document interactions, and maintain HIPAA compliance while meeting monthly quality and productivity targets in a dynamic team setting.

Qualifications

• Associate degree preferably in healthcare.
• Minimum 3 years in a fast-paced high-volume call center.
• Excellent written communication and empathy.
• Strong technical skills with Microsoft Office.

Responsibilities

• Update account information such as billing options and contact changes.
• Educate beneficiaries on plan benefits, cost sharing, and coverage levels.
• Research premium billing discrepancies and prescription claims.
• Handle inbound and outbound calls with high accuracy and professionalism.
• Escalate issues to management as needed while maintaining HIPAA compliance.
• Maintain concise notations in member records and meet quality targets.

Skills

Customer care

Attention to detail

Organized

Written communication

Empathy

Problem solving

De-escalation

Multi-tasking

Phone etiquette

Verbal communication

Education

Associate Degree in Healthcare

Tools

Microsoft Office

Job description

Helpware Inc. in the Philippines seeks a Member Services Advocate to transform customer service into exceptional care for beneficiaries. You will assist with updating accounts, educating on benefits, and resolving plan-related issues with attention to security and accuracy.

You will handle inbound/outbound calls, document interactions, and maintain HIPAA compliance while meeting monthly quality and productivity targets in a dynamic team setting.