422 Healthcare Specialist jobs in the Philippines

We are mass hiring for Call Center Agents as prior in our Metro Manila sites

Sapient is URGENTLY HIRING APPLY TODAY AND GET HIRED IMMEDIATELY

Responsibilities:

• Resolve customer inquiries, concerns, or complaints effectively and escalate issues when necessary to ensure swift resolution.
• Update and maintain accurate records of customer interactions, transactions, and order details in the system.
• Stay updated on company policies, procedures, and services to provide accurate information to customers
• Contribute to a positive and collaborative team environment.

Qualifications:

• With good communication skills
• At least conversant in the English language
• Computer Literate
• Excellent problem-solving and decision-making abilities
• Ability to thrive in a fast-paced and dynamic environment

Our Awesome Benefits:

• Fix weekends Off
• Competitive Salary
• Monthly Commissions
• Pioneer, Non-voice, and Easy Accounts Available
• HMO with 2 FREE Dependents from Day 1
• Free Coffee and Biscuits at the office
• Paid leaves, OT & holiday pay
• Government-mandated benefits & 13th-month pay
• Fast-Track Career Growth for top performers
• Retirement/Life Insurance for Qualified Staff
• Incentives and Signing Bonuses and other Premium Benefits for you to enjoy.

THIS IS FOR AN ONSITE WORK SET UP ONLY

BE PART OF A GROWING TEAM AND ENJOY WORK-LIFE BALANCE

Give us a ring, and let's talk about how we can help you. Apply now and receive a quick response within a day

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php18, Php27,000.00 per month

Benefits:

• Additional leave
• Company events
• Employee discount
• Health insurance
• Paid training

Work Location: In person

Company Description
Why Join Us?
We promise our employees to experience
role clarity, coaching and mentoring, professional development and structured career path through our 5 people promises
and keeping employee experience at the core. Experience the culture of Outperformance, engagement, celebration and enjoy wide variety of
best in class benefits including free HMO coverage for self and dependent from Day 1
; Also contribute to society through our
WNS Cares Foundation
, where you have the opportunity to support meaningful initiatives and make an impact in the community.

About WNS:
WNS Philippines
- Established in 2008, WNS Philippines has been delivering the full spectrum of BPM services – in customer interaction services, finance and accounting, research and analytics, technology solutions and industry-specific businesses for more than 10 years. With more than 11,000 employees spread across 11 sites located in 4 key cities, Quezon City, Pasig City, Muntinlupa City, and Iloilo City – WNS is one of the fastest growing centers in the country.

Our mission as an organization is guided by our CIRCLE of values: Client First, Integrity, Respect, Collaboration, Learning, Excellence.
WNS Global Services Inc.
(NYSE: WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400+global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities. Globally, the group's over 44,000+ Professionals serve across 60 delivery centers in 16 countries worldwide.

Job Description
The Site CSR is primarily responsible for making outbound calls to and accepting inbound calls from healthcare providers to answer questions about the requirement to participate, assistance with registration and login, assessment completion and questions regarding scoring results.

Qualifications

• Must have an active PRC License
• 2 years Bedside / Clinical experience
• Preferably with 6 months BPO Healthcare Account experience
• Excellent Communication skills
• Temporary Work-From-Home

Additional Information
Benefits and Company Perks:

• Structured career path
• Growing and expanding team – more internal career progression opportunities for all
• Safe work environment
• Free HMO Coverage from Day 1, including your dependents
• Skills Training opportunities
• Paid Leaves

STRATEGIC STAFFING SOLUTIONS (S3)

Position
: Healthcare Insurance Analyst

Work Set-Up
: Onsite

Office Location:
Century Tower, Makati City

Schedule:
Night Shift (EST)

JOB RESPONSIBILITIES

• Conduct comprehensive audits on group members to evaluate their health insurance coverage, encompassing medical, dental, vision, and hearing benefits.
• Integrate modified membership information into the database to ensure it is up to date and accurate.
• Handle inquiries from groups regarding member healthcare coverage in a comprehensive manner.
• Confirm the eligibility of members and ensure that their coverage is within the appropriate time frame of the group.
• Verify that members in the internal systems align with the members listed in the group files.
• Investigate any discrepancies between coverage in the system and actual coverage of a member and determine the appropriate course of action.
• Confirm the eligibility of members by verifying that their provider/primary care physician (PCP). information matches that in the system. Verify that the PCP selected by the member is eligible to be a provider by checking the system using their National Provider Identifier (NPI).

TOP SKILLS REQUIRED:

• Strong MS Office skills, particularly MS Excel, Access, Outlook, and Teams.
• Strong communication skills – being able to write emails to group of professionals, grammatically correct without errors.
• Time management – able to handle audits, responding to group emails, team emails, etc.
• Healthcare Insurance experience REQUIRED.

QUALIFICATIONS:

• High school diploma or GED required. Bachelor's degree in related field preferred.
• High knowledge of MS Office, specifically MS Excel, MS SharePoint, MS Access and MS Teams.
• High knowledge in data entry and reporting.
• Excellent English communication skills (written, verbal).
• At least 2 years of relevant experience in healthcare insurance.
• At least 2 years of experience in data analysis and analytical skills.

Strategic Staffing Solutions (S3)
is a woman-owned global IT consulting and business services corporation headquartered in Detroit, MI with industry expertise in financial services, IT, energy and utilities, oil and gas, healthcare and insurance, telecommunications, and retail distribution. Founded in 1990, carries zero debt with locations throughout the US, Americas, Europe, and Asia.

Website:

LinkedIn:

Facebook:

People Powered. Customer Centered. Community Champions.

About Our Client

Our client is a modern benefits platform and full-service brokerage firm committed to helping companies create healthier workplaces. They combine expertise from benefits firms, technology startups, and insurance carriers to deliver a range of innovative solutions that empower employers and employees alike. Licensed in all 50 states, our client maintains strong relationships with major insurance carriers, providing comprehensive and reliable services. Their signature app serves as a go-to resource for employees, offering easy access to benefits information, tools, and resources to help members thrive.

About the Role

The Advocate will be responsible for resolving member inquiries related to claims, coverage, plan details, eligibility, and authorizations. This role involves utilizing internal systems, process flow documents, and a ticketing system to address member issues and proactively identify additional service needs. The ideal candidate will have excellent communication skills, strong organizational abilities, and a passion for providing exceptional customer service. Adaptability, teamwork, and the ability to learn quickly are essential for success in this role.

Key Responsibilities

• Provide high-quality customer support to ensure member satisfaction.
• Maintain a positive, empathetic, and professional attitude with customers at all times.
• Respond promptly and accurately to member inquiries via phone, service platform, and email.
• Resolve inquiries related to claims, appeals, providers, benefits, costs, and more.
• Document resolutions, member communications, and resolution times in the ticketing system.
• Collaborate with internal consultants and the service team to resolve issues.
• Reach out to carriers and providers for additional information as needed.
• Navigate internal systems to gather member, plan, and group details.
• Advise members on plan selection based on individual and financial needs.
• Schedule provider appointments on behalf of members.

Requirements

• 3+ years of experience in customer support, preferably in healthcare and claims.
• Proven ability to provide exceptional customer service with a focus on empathy and problem-solving.
• Strong written and verbal communication skills in English, including tone matching and empathy.
• Ability to multitask and prioritize effectively in a fast-paced environment.
• Ability to work independently and collaboratively within a team.
• Strong attention to detail with a focus on accuracy in all tasks.
• College degree preferred, or completion of at least 2 years of college education.

Work Conditions

• Salary: Competitive compensation based on experience.
• Equipment: All necessary equipment will be provided.
• Workstation: Your workstation should be set up in a safe and secure home environment with stable and reliable internet (minimum speed of 25 Mbps).
• Work Setup: Hybrid Setup (1x in a week)
• Working Hours: Monday to Friday, US Hours Required.

Benefits

• HMO Healthcare Coverage: Comprehensive coverage for you.
• Leave Days: 20 combined Sick Leave (SL) and Vacation Leave (VL).
• Government-Mandated Benefits: All mandatory benefits are included.
• Public Holidays: Paid time off for all Philippines Public Holidays.

What's Next?

Click "Apply" and attach your CV. We look forward to hearing from you

The Medical Records Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement of integrity measures.

Job Overview:

Employment type: Full-time

Schedule: Day shift

Work setup: Onsite

Site Assignment: PNB Makati

Role Overview:

• Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
• Prepare claims for submission to the appropriate portals for arbitration
• Have the ability for re-prioritize key tasks and meet with manager and director to provide updates of findings and outcomes
• Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions
• Complete special projects and other duties as assigned

Qualifications:

• Minimum of 1 year Medical Billing/Healthcare Support Experience
• Knowledge of laws that regulate communication and privacy acts. HIPAA laws and understanding of the application of all above
• Must maintain professional appearance.
• Ability to be at work on a regular and consistent basis
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Proven success in negotiation and technical writing
• Professionalism in all dealings, both internal and external
• Ability to clearly communicate, both verbally and in writing
• Knowledge of medical terminology
• Other duties as assigned

Job Type: Full-time

Benefits:

• Health insurance

Application Question(s):

• Do you have knowledge in HIPAA Regulations?
• How many years of experience do you have working in Healthcare Industry?
• Have you supported a US based client?
• Are you willing to work fully onsite in Makati?

Experience:

• Medical records: 1 year (Preferred)

Work Location: In person

Easy and Fast One-day Hiring Process Earn up to 25k monthly plus more benefits We are looking for a Healthcare Specialist Representative in our Metro Manila Sites This is for urgent hiring, don't miss this opportunity and Apply Now

Responsibilities:

• Answer inquiries regarding medical services, insurance coverage, and billing via phone calls.
• Assist patients with scheduling appointments and accessing medical records
• Verify insurance coverage and process medical claims and bills
• Coordinate with stakeholders to resolve customer issues and ensure customer satisfaction
• Achieve performance targets related to customer satisfaction and quality

Qualifications:

• High school diploma or equivalent (some college coursework in healthcare or related field preferred)
• Good communication and interpersonal skills
• Excellent problem-solving and decision-making abilities
• Ability to thrive in a fast-paced and dynamic environment

BE PART OF A GROWING TEAM AND ENJOY WORK-LIFE BALANCE

Give us a ring, and let's talk about how we can help you. Apply today

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php17, Php25,000.00 per month

Benefits:

• Additional leave
• Company events
• Employee discount
• Health insurance
• Paid training

Work Location: In person

CSR – Healthcare Account (Cebu Site)

Up to ₱25,000 Salary | HMO Day 1 | 1-Day Hiring Process

Join a team that puts care first We're hiring Customer Service Representatives for a Healthcare Account in Cebu. If you're passionate about helping others and ready to grow your BPO career, this is your chance.

What's in it for you?

• Up to ₱25,000 monthly salary
• 20% Night Differential
• Account Incentives & Allowances
• HMO Coverage on Day 1
• Monthly Attendance Bonus
• 1-Day Hiring Process – Secure your spot ASAP

How to Apply:

Send your resume to or message via Viber/WhatsApp: with the following details:

Full Name:

Current Address:

Educational Attainment:

Total BPO Experience:

Currently Employed?: (Yes/No)

Let's get you hired—fast and hassle-free

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php25,000.00 per month

Benefits:

• Company events
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Application Question(s):

• Location:
• Educational Attainment:
• Total BPO experience: IF ANY
• Email:

Work Location: In person

Company Description
Why Join Us?
We promise our employees to experience role clarity, coaching and mentoring, professional development and structured career path through our 5 people promises and keeping employee experience at the core. Experience the culture of Outperformance, engagement, celebration and enjoy wide variety of best in class benefits including free HMO coverage for self and dependent from Day 1; Also contribute to society through our WNS Cares Foundation, where you have the opportunity to support meaningful initiatives and make an impact in the community.

About WNS:
WNS Philippines - Established in 2008, WNS Philippines has been delivering the full spectrum of BPM services – in customer interaction services, finance and accounting, research and analytics, technology solutions and industry-specific businesses for more than 10 years. With more than 11,000 employees spread across 11 sites located in 4 key cities, Quezon City, Pasig City, Muntinlupa City, and Iloilo City – WNS is one of the fastest growing centers in the country.

Our mission as an organization is guided by our CIRCLE of values: Client First, Integrity, Respect, Collaboration, Learning, Excellence.
WNS Global Services Inc. (NYSE: WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400+global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities. Globally, the group's over 44,000+ Professionals serve across 60 delivery centers in 16 countries worldwide.

Job Description
Clinical Review Nurses – Nurse conducts clinical review of cases not meeting criteria by performing clinical intake and adjudicates (closes), requests additional clinical information or escalates to Medical Directors.

Qualifications
Active PRC and USRN License with 2 years Bedside Experience

At least 2 years Triage Phone handling experience

Preferably with ER / OR / Medical Surgical / UR / UM / Triage / ICU / Hemodialysis experience

Excellent verbal/written communication skills, including the ability to handle interactions with facility personnel and providers in a professional manner.

Good knowledge in Healthcare or Medical domain

Willing to work on shifting schedule - night and graveyard shift

Willing to work on holidays / weekends

Can start ASAP

Additional Information
Benefits and Company Perks:

• Structured career path
• Growing and expanding team – more internal career progression opportunities for all
• Safe work environment
• Free HMO Coverage from Day 1, including your dependents
• Skills Training opportunities
• Paid Leaves
• Annual appraisal

WE'RE HIRING CSR ( FRESHERS ARE WELCOME TO APPLY)

Guarenteed 1 day Process ONLY with Fare Reimbursement FREE TIPS FOR INTERVIEW :)

LOCATION: Cebu IT Park

POSITION: Customer Service Representative – Healthcare Specialist

WORK SET-UP: Pure Onsite

SCHEDULE: Night Shift

START DATE: Urgent / ASAP

(COMPENSATION & BENEFITS)

- Up to 20,610 BASIC SALARY PLUS 2K ALLOWANCE

-100 peso FARE REIMBURSEMENT

· 20% Night Differential

· HMO on Day 1

· Account Incentives

• Attendance Bonus

· Career Growth

· Paid Training

(REQUIREMENTS/QUALIFICATIONS)

· HS Graduate/SHS/ College Undergrads

· WITH OR WITHOUT BPO EXPERIENCE

· GOOD TO EXCELLENT COMMUNICATION SKILLS

• CAN START ASAP

SEND YOUR UPDATED RESUME HERE OR MESSAGE ME ON VIBER FOR FASTER RESPONSE.

APPLY NOW :)

Job Types: Full-time, Permanent

Pay: Php16, Php23,000.00 per month

Benefits:

• Company Christmas gift
• Company events
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Work Location: In person