Customer Service Advocate | Provider Services

Imagenet; United States; A distancia; USD 4400 - 7100; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Work Remotely

13th Month Salary

Comprehensive HMO

Equipment Provided

Career Growth

Descripción de la vacante

Imagenet is a technology-forward healthcare operations partner delivering payer support across the U.S. and Philippines.

The Healthcare Customer Service Advocate will handle emails, faxes, and web inquiries related to claims, appeals, and payments, acting as the primary contact for providers with a focus on accuracy and HIPAA compliance. This remote role requires 4+ years in healthcare contact centers, strong analytical and communication skills, and the ability to work flexible shifts including

Formación

• High school diploma or equivalent; college degree is an advantage.
• At least 4 years of experience in healthcare contact center, provider services, or claims support environment is required.
• Basic knowledge of healthcare claims, EOBs, appeals, and payment processes is beneficial.
• Excellent analytical, multitasking, organizational, and communication skills with strong attention to detail.
• Tech-savvy; proficient in MS Office and online systems.
• Ability to work flexible shifts, including nights, weekends, and holidays.
• Must be located in or near Manila (preferred).
• Urgent hiring; start ASAP.

Responsabilidades

• Serve as the primary point of contact for healthcare providers and billing agencies regarding claims-related inquiries.
• Respond to inquiries about claim status, payments, appeals, and EOBs via phone, E-Mail, Fax, and web requests.
• Research and provide accurate information on claims, claim outcomes, and payment status.
• Investigate and resolve provider inquiries by coordinating with internal teams as needed.
• Provide updates on provider appeals and request additional documentation when required.
• Assist with payment-related requests, including stop payments, check reissuance, payment tracers, and copies of cashed checks.
• Process requests for upheld and late submission letters in accordance with company guidelines.
• Escalate complex or unresolved issues through the appropriate channels.
• Accurately document all customer interactions and maintain complete records in internal systems.
• Ensure compliance with HIPAA regulations, company policies, and confidentiality standards.
• Consistently meet service level agreements (SLAs), quality standards, productivity goals, and customer satisfaction expectations.
• Deliver professional, courteous, and solution-oriented customer service in every interaction.

Conocimientos

Analytical skills

Multitasking

Organizational skills

Communication skills

MS Office

Educación

High school diploma or equivalent

College degree is an advantage

Herramientas

Online systems

MS Office

Descripción del empleo

Healthcare Customer Service Advocate | Provider Service

Work Set-up: Remote

Location: Valero, Makati City

Schedule: Graveyard | Shifting Hours

Job Summary

This role is responsible for providing exceptional support to healthcare providers by handling emails, faxes, and web inquiries related to healthcare claims, appeals, and payment concerns. This role serves as the primary point of contact for providers, ensuring timely resolution of inquiries while delivering a high level of customer service and maintaining compliance with company policies and service standards.

Key Responsibilities

• Serve as the primary point of contact for healthcare providers and billing agencies regarding claims-related inquiries.
• Respond to inquiries about claim status, payments, appeals, and Explanation of Benefits (EOBs) via phone, E-Mail, Fax, and web requests.
• Research and provide accurate information on claims, claim outcomes, and payment status.
• Investigate and resolve provider inquiries by coordinating with internal teams as needed.
• Provide updates on provider appeals and request additional documentation when required.
• Assist with payment-related requests, including stop payments, check reissuance, payment tracers, and copies of cashed checks.
• Process requests for upheld and late submission letters in accordance with company guidelines.
• Escalate complex or unresolved issues through the appropriate channels.
• Accurately document all customer interactions and maintain complete records in internal systems.
• Ensure compliance with HIPAA regulations, company policies, and confidentiality standards.
• Consistently meet service level agreements (SLAs), quality standards, productivity goals, and customer satisfaction expectations.
• Deliver professional, courteous, and solution-oriented customer service in every interaction.

Qualifications

• High school diploma or equivalent; college degree is an advantage.
• At least 4 years of experience in healthcare contact center, provider services, or claims support environment.
• Basic knowledge of healthcare claims, EOBs, appeals, and payment processes is an advantage.
• Excellent analytical, multitasking, organizational, and communication skills with strong attention to detail and accuracy.
• Tech-savvy, with proficiency in MS Office and online systems.
• Ability to work flexible shifts, including nights, weekends, and holidays.
• Must be located in or near Manila (preferred).
• Can start ASAP. This is an urgent hiring.

Work Arrangement

This position is currently offered on a REMOTE work basis. However, please note that this is a performance-based role, and the company reserves the right to require employees to report onsite at any time based on business needs, performance evaluations, operational requirements. Flexibility to transition to an office-based setup when necessary is expected.

Work from Home Requirements

• Requires a stable primary internet connection of at least 50Mbps
• Reliable backup connection to ensure continuity of remote work.
• Required to provide a speed test during interview (initial)
• Ability to directly hardwire to your modem
• Required to have a quiet dedicated work area.

Why You’ll Love Working with Us

• Work Remotely
• Competitive Pay + 13th Month Salary
• Comprehensive HMO Coverage (Medical)
• Equipment Provided – Everything you need to succeed
• Career Growth – Be part of a dynamic and supportive team that values your expertise

About Imagenet

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.

Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.

Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.

Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.