Healthcare Customer Service Advocate (Healthcare)

TL;DR

Healthcare Customer Service Advocate (Healthcare): Providing support to healthcare providers regarding claims, appeals, and payment concerns with an accent on timely resolution and compliance. Focus on investigating claim outcomes, managing provider inquiries, and ensuring HIPAA standards.

Location: Remote, but must be located in or near Manila. The company reserves the right to require onsite reporting based on performance or business needs.

Company

hirify.global is a leading provider of back-office support technology and tech-enabled outsourced services for healthcare plans nationwide.

What you will do

• Act as primary contact for healthcare providers and billing agencies regarding claims-related inquiries.
• Resolve inquiries about claim status, payments, and Explanation of Benefits (EOBs) via phone, email, and fax.
• Research and provide accurate information on claim outcomes and payment status.
• Coordinate with internal teams to resolve complex provider issues and manage appeals.
• Process payment-related requests including stop payments and check reissuances.
• Document all interactions accurately while maintaining strict compliance with HIPAA regulations.

Requirements

• High school diploma or equivalent (college degree preferred).
• 4+ years of experience in healthcare contact centers, provider services, or claims support.
• Knowledge of healthcare claims, EOBs, and appeals processes.
• Proficiency in MS Office and online systems.
• Ability to work flexible shifts, including nights, weekends, and holidays.
• Stable internet connection (50Mbps+), backup connection, and a quiet dedicated work area.

Culture & Benefits

• Remote work arrangement with required equipment provided.
• Competitive pay including a 13th-month salary.
• Comprehensive HMO coverage (Medical & Dental).
• Opportunities for career growth within a dynamic and supportive team.
• Immediate hiring for urgent placement.