CSR (US Healthcare) High School Grad/Undergrad

19 hours ago

Pasig, National Capital Region, Philippines HCM Nexus Full time ₱200,000 - ₱250,000 per year
Job Summary

We are hiring a Customer Service Representative for our US Healthcare Account. In this role, you will handle inbound and outbound calls related to healthcare claims, benefits, and insurance coverage. You will assist patients and healthcare providers by explaining benefits, resolving claim concerns, and ensuring accurate documentation.


Key Responsibilities
  • Handle voice calls from US-based patients and healthcare providers regarding claims and benefits
  • Clearly explain coverage details, claim status, and benefit information
  • Review and process data from CMS-1500 and UB-04 medical claim forms
  • Accurately document all interactions in the system
  • Maintain compliance with HIPAA and company guidelines
  • Deliver high-quality service while meeting performance standards

Qualifications
  • At least High School Graduate or 1st-Year College Undergraduate
  • Minimum 1 year of voice experience in a US Healthcare Support account
  • Knowledge in explaining healthcare benefits and handling insurance claims
  • Familiarity with CMS-1500 and UB-04 medical claim forms
  • Excellent English communication skills
  • Willing to work in a pure voice account environment

Perks and Benefits
  • Fixed weekends off with 8-hour shifts
  • Day 1 HMO coverage for you and 2 dependents (FREE)
  • ₱20,000 Sign-on Bonus after 6 months
  • Rice allowance
  • Clothing allowance
  • Medical cash allowance
  • Free lunch for onsite employees
  • Training and development programs
  • Employee engagement activities
  • Opportunities for internal career growth

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