Remote Healthcare Claims & Customer Support Associate

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

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.