Verification Specialist

Verification Specialist Healthcare Insurance

Taguig, National Capital Region. Salary: ₱40000 - ₱80000. Employer: Cardinal Health International Philippines Inc.

Posted today • Job Viewed

Job Description

What Customer Service Operations contributes to Cardinal Health

Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.

Job Summary

The Senior Representative, Customer Service Operations is responsible for providing outstanding customer service and managing accounts while providing sales support to field sales representatives. This role establishes, maintains and enhances customer service via contract administration, timely order fulfillment, and exemplary customer support including managing accounts and providing sales support to field sales representatives. It tracks demand and backorders, complaint and incident reporting and supports post-sales issue resolutions. The role works directly with customers to strengthen Cardinal Health's operational performance and relationships, and collaborates cross-functionally with Commercial, Finance, Supply Chain and Operations teams to meet customer needs and optimize performance.

Responsibilities

• Provide outstanding customer service and support improvements in operational execution to meet service levels.
• Manage customer account activity including order fulfillment, backorders/substitutes, product change requests, new/lost business submissions and customer questions.
• Offer outsourced services related to invoicing, reimbursement and dispute resolution.
• Collect and review customer feedback, complaints, recalls and product returns; collaborate with Quality and Regulatory teams.
• Identify customer trends and develop alternatives to support business and opportunities.
• Support process improvements in inventory, suppliers, cost control and profitability to enhance service.
• Build relationships with key stakeholders to enable collaborative improvements in service.
• Communicate with customers and troubleshoot equipment issues as needed.
• Manage cases on reporting, backorders, complaints, pricing and product incidents.
• Support general sales by analyzing account histories and coordinating internal resources.
• Investigate anomalies in POS systems, website ordering, and customer complaints; guide customers to internal resources as needed.
• Support post-sales issue resolution as necessary.

What is expected of you and others at this level

• Apply knowledge of job and company policies to complete assignments.
• Have in-depth knowledge in a technical or specialty area and solve complex problems independently.
• May modify processes and provide guidance to others as needed.

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0

CSR Healthcare Insurance Account

Posted today • Job Viewed

Apply now and join our company. We are hiring for a Customer Service Representative for Healthcare Account.

Qualifications:

• 1 year solid experience handling an international healthcare pure-voice account
• Completed at least 2nd year of college without back subjects
• Knowledgeable on healthcare insurance (claims, benefits, eligibility)
• Competitive salary package up to 33,000 per month
• 10% Night Differential, HMO from Day 1 with qualified dependents
• Free retirement plan / Life insurance, Annual performance bonus
• Paid holidays and leave credits, Fixed night shift and weekends off
• 100% virtual processing; tools provided

Note: This advertiser has chosen not to accept applicants from your region.

1

BPO - Healthcare Insurance Representative (Onsite Setup)

Posted today • Job Viewed

What You Must Possess

• High school diploma or equivalent; college coursework preferred
• Computer proficiency with MS Office, EMRs, and ability to learn multiple platforms
• Strong verbal and written communication with professional telephone etiquette
• Excellent interpersonal, organizational, time management, and detail orientation
• Ability to multitask with accuracy; problem-solving and decision-making skills
• Flexibility and adaptability in a fast-paced environment
• HIPAA, PHI, HITEC familiarity; knowledge of Medicaid, Federal Marketplace, or Epic is a plus
• 2 months to 1 year of patient advocacy/customer service/collections experience preferred

What You Shall Receive

• HMO coverage starts on regularization; dependents after 1 year
• Friendly culture, 13th-month pay and government-mandated benefits
• Pay increases, performance bonuses, birthday gifts etc.

Why Join Our Company

Onsite setup; location: Makati/angles; Unity Communications emphasizes care and a positive work culture.

This advertiser has chosen not to accept applicants from your region.

2

Claims Specialist for US Healthcare Insurance

Posted today • Job Viewed

Job Description

ISTA Solutions seeks a Medical Billing Specialist to join our team; focus on long-term success and work-life balance. Responsibilities include eligibility and benefits verification, reviewing patient bills, following up on unpaid claims, contacting insurers for discrepancies, and handling secondary/tertiary insurances.

Job Description (cont.):

• Provide customer support via phone, email, chat
• Resolve inquiries to ensure satisfaction; collaborate with departments
• Maintain accurate records

Requirements

• 6 months to 1 year BPO experience handling US Healthcare Insurance
• Experience with claims, denials, appeals
• Strong problem-solving, adaptability, written and verbal English
• Willing to work onsite in Makati; night shift

Benefits

• Competitive salary; health insurance with free dependents
• Attendance bonus; paid time off; leave credits
• Work-life balance; career growth

3

Back Office Associate for US Healthcare Insurance

Posted today • Job Viewed

Job Description

ISTA Solutions seeks a Healthcare Customer Service Associate with strong work-life balance. Responsibilities include eligibility verification, handling emails on order statuses, coordinating with internal and external teams, and RCM-related tasks.

• Review insurance information and verify eligibility
• Communicate via email about order statuses; coordinate with teams
• Assist with administrative/RCM tasks; use RCM software

Requirements

• 6 months to 1 year BPO experience in healthcare
• Knowledge of eligibilities and intake; English skills; onsite in Buendia, Makati or Shaw Blvd, Mandaluyong
• Amenable to night shift

Benefits

• Competitive salary; health insurance with dependents
• Attendance bonus; paid time off
• Career growth; training opportunities

4

CSR & Back Office Support - Healthcare Insurance - Start asap

Posted today • Job Viewed

Job Description

• Assist customers via calls, emails and chats
• Maintain confidentiality; document calls per SOPs
• Identify DB issues and escalate with supervisor
• May guide data entry staff; produce call reports

Qualifications

• SHS graduates with 1 year BPO experience in healthcare/travel/insurance
• Strong written and verbal communication
• Willingness to work fixed graveyard shift; onsite (Ortigas, Pasig)

This advertiser has chosen not to accept applicants from your region.

5

Medical Insurance Verifier

Taguig, National Capital Region. Salary: ₱ - ₱ . Y Cardinal Health International Philippines Inc.

Posted today • Job Viewed

Job Description

What Customer Service Operations contributes to Cardinal Health

As above; responsibilities include contract administration, orders, problem resolution, medical billing and dispute resolution.

Job Summary

Senior Representative, Customer Service Operations; focus on outstanding service, account management, and cross-functional collaboration to ensure customer needs are met and opportunities identified.

Responsibilities

• Provide service improvements and exceed service levels
• Manage orders, backorders, substitutions, product change requests
• Outsourced invoicing, reimbursement, dispute resolution
• Collect feedback and collaborate with Quality and Regulatory
• Identify trends and opportunities; support inventory and profitability goals
• Build stakeholder relationships; communicate needs and troubleshoot equipment
• Handle post-sales issues and support sales as needed

What is expected

• Apply policies; solve complex problems; mentor others if applicable

This advertiser has chosen not to accept applicants from your region.

6

Medical & Hospitalization Insurance Underwriter

Posted today

Job Description

MAAGAP seeks a Medical & Hospitalization Insurance Underwriter to assess health insurance applications, determine risk, and make underwriting decisions. Essential functions include developing guidelines, pricing, compliance, collaboration with medical advisors, supervising reviews, and leading department operations.

Qualifications

• Actuarial or Medical degree
• 5-7 years related experience; 2-3 years in leadership
• Experience with group and individual insurance; assess local/international cases

Job Types: Full-time, Permanent

• Additional leave
• Company events
• Health insurance
• Promotion opportunities
• Paid training

7

Medical Referral Coordinator for International Health Insurance Operations

Posted today

Job Description

• Registered Nurse; knowledge of CPT/ICD-10 coding is a plus
• Healthcare industry experience is advantageous
• Strong communication, problem-solving and analytical abilities
• Self-motivated, team player, calm under pressure; detail-oriented
• Fresh graduates welcome

This advertiser has chosen not to accept applicants from your region.

8

Locations

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