Healthcare Customer Service Representative – Payer Experience

6 days ago


Pasay, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time ₱250,000 - ₱450,000 per year

Job Overview:

We are seeking a dedicated and experienced Healthcare Customer Service Representative (CSR) to join our team on a short-term contract. This role will primarily focus on an outbound program, engaging with clients and payers to provide efficient healthcare support services. This role involves conducting outbound calls to verify chronic conditions with members and payers. The ideal candidate will have strong payer call center experience and a solid healthcare background.

Key Responsibilities:

  • Accurately capture and update member information in the system.
  • Ensure compliance with company policies, HIPAA regulations, and quality standards.
  • Meet productivity and accuracy targets within specified timelines.
  • Collaborate with team members, trainers, and supervisors to ensure smooth process ramp-up.

  • Make outbound calls to patients, providers, and payers to address healthcare-related inquiries.

  • Manage and resolve issues related to claims, authorizations, billing, and patient account services.
  • Accurately document call interactions and update internal systems.
  • Provide excellent customer service while adhering to HIPAA and company compliance standards.
  • Collaborate with team members and supervisors to ensure targets and timelines are met.

Qualifications:

  • Proven experience as a Healthcare CSR (required).
  • Prior payer experience is a must.
  • Strong communication and interpersonal skills.


  • Pasay, National Capital Region, Philippines access healthcare Full time ₱300,000 - ₱600,000 per year

    About the role As a Healthcare Customer Service Representative - Claims Specialist at access healthcare, you will be the primary point of contact for customers, providing exceptional service and support for healthcare claims processing. In this full-time role based in Pasay City, Metro Manila, you will play a vital part in ensuring a seamless and efficient...


  • Pasay, National Capital Region, Philippines access healthcare Full time $104,000 - $130,878 per year

    About the role As a Customer Service Representative for healthcare accounts at access healthcare, you will be the first point of contact for our valued clients, delivering exceptional customer service and support. In this full-time, office-based role located in Pasay City, Metro Manila, you will be responsible for handling inquiries, resolving issues, and...


  • Pasay, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time $40,000 - $60,000 per year

    We are seeking a detail-oriented and results-driven Claims Representative to join our growing Healthcare BPO team.In this role, you will be responsible for managing the end-to-end medical billing cycle, ensuring timely collections, following up on unpaid claims, and maintaining healthy cash flow for healthcare providers in the US.Key Responsibilities:Perform...


  • Pasay, National Capital Region, Philippines Access Healthcare Full time ₱400,000 - ₱480,000 per year

    Job description:We are looking for Claims Analyst to be part of our Second Batch TEAMYou'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency.This role involves analyzing and processing healthcare claims, identifying discrepancies, and working closely with internal teams and...


  • Pasay, National Capital Region, Philippines access healthcare Full time ₱600,000 - ₱1,200,000 per year

    Job description:We are seeking a experienced Healthcare Representative to manage and process medical records requests in accordance with HIPAA and client policies.You will serve as a vital link between patients, healthcare providers, and third-party requestors, ensuring accurate and timely delivery of information.Key ResponsibilitiesReview and process...

  • Medical Claims Analyst

    13 hours ago


    Pasay, National Capital Region, Philippines Access Healthcare Full time ₱400,000 - ₱480,000 per year

    We are looking for Claims Analyst to be part of our PIONEER TEAMYou'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency.This role involves analyzing and processing healthcare claims, identifying discrepancies, and working closely with internal teams and clients to resolve...


  • Pasay, National Capital Region, Philippines Access Healthcare Full time ₱420,000 - ₱480,000 per year

    Job description:We are looking for Claims Analyst to be part of our PIONEER TEAMYou'll be responsible for managing the entire claims process from initiation to resolution, ensuring accuracy, compliance, and efficiency.This role involves analyzing and processing healthcare claims, identifying discrepancies, and working closely with internal teams and clients...

  • Claims Analyst

    12 hours ago


    Pasay, National Capital Region, Philippines Access Healthcare Full time ₱360,000 - ₱480,000 per year

    We are seeking a experienced Claims Representative to join our growing Healthcare BPO team.In this role, you will be responsible for managing the end-to-end medical billing cycle, ensuring timely collections, following up on unpaid claims, and maintaining healthy cash flow for healthcare providers in the US.Key Responsibilities:Perform follow-ups with...

  • AR Claims Analyst

    4 days ago


    Pasay, National Capital Region, Philippines Access Healthcare Full time ₱900,000 - ₱1,200,000 per year

    We are seeking a experiencedAR Claims Representativeto join our growing Healthcare BPO team.In this role, you will be responsible for managing the end-to-end medical billing cycle, ensuring timely collections, following up on unpaid claims, and maintaining healthy cash flow for healthcare providers in the US.Key Responsibilities:Perform follow-ups with...


  • Pasay, National Capital Region, Philippines Access Healthcare Full time ₱25,000 - ₱270,000 per year

    We are seeking a experienced Healthcare Representative to manage and process medical records requests in accordance with HIPAA and client policies.You will serve as a vital link between patients, healthcare providers, and third-party requestors, ensuring accurate and timely delivery of information.Key ResponsibilitiesReview and process medical records...