Customer Service Advocate – Provider Services

Imagenet LLC

. Serve as the primary point of contact for healthcare providers and billing agencies regarding claims-related inquiries .

Posted 10/14/2026full-timeMakati City • PhilippinesMid-LevelSenior💰 ₱35,000 per monthWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare claims processing, provider services, and customer support, with a strong focus on accuracy, compliance with HIPAA regulations, and effective communication. Proficient in managing inquiries, resolving issues, and maintaining detailed records to meet service level agreements and customer satisfaction goals.

Highest-signal resume keywords

Healthcare Claims ProcessingCustomer Service ExcellenceHIPAA ComplianceMS Office ProficiencyAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SupportEOB KnowledgePayment ProcessesDocumentation ManagementIssue ResolutionData EntryMultitaskingOrganizational SkillsAttention to DetailResearch Skills

Soft Skills

Communication SkillsProblem-SolvingTeam CoordinationProfessionalismSolution-Oriented Approach

Tools & Technologies

Online SystemsInternal Systems

Industry Keywords

HealthcareProvider ServicesClaims InquiriesService Level AgreementsConfidentiality Standards

About the role

Key responsibilities & impact

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 via phone, email, 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
Provide updates on provider appeals and request additional documentation when required
Assist with stop payments, check reissuance, payment tracers, and copies of cashed checks
Process requests for upheld and late submission letters according to company guidelines
Escalate complex or unresolved issues through appropriate channels
Document customer interactions and maintain complete records in internal systems
Meet service level agreements, quality standards, productivity goals, and customer satisfaction expectations
Deliver professional, courteous, and solution-oriented customer service

Requirements

What you’ll need

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
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
Stable primary internet connection of at least 50Mbps
Reliable backup internet connection
Must provide a speed test during interview
Ability to directly hardwire to modem
Quiet dedicated work area
Ability to transition to an office-based setup when necessary
Compliance with HIPAA regulations, company policies, and confidentiality standards

Benefits

Comp & perks

13th Month Salary
Comprehensive HMO Coverage (Medical)
Equipment Provided
Career Growth
Remote work option