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Job description:

Hiring Now: Healthcare Account Associates – BPO Cebu City

Start ASAP | Freshers Welcome | 1-Day Hiring Process

Looking to launch your career in the BPO industry? Join our growing Healthcare account in Cebu and experience a workplace that values your potential, rewards your performance, and supports you from Day 1.

Why Join Us:

HMO coverage starting Day 1

20% night differential pay

Account incentives and allowances

Open to fresh graduates and career shifters

Onsite work in Cebu

Guaranteed 1-day hiring process

Qualifications:

At least Senior High School graduate

Good to excellent communication skills

Amenable to start immediately

Willing to work on shifting schedules

How to Apply:

Send your resume via:

Email:

Viber/WhatsApp:

We process applications fast. Get hired in just one day

Job Types: Full-time, Permanent

Pay: Up to Php23,000.00 per month

Benefits:

• Flexible schedule
• Paid training
• Pay raise

Work Location: In person

Expected Start Date: 09/19/2025

We are looking for a dedicated Call Center Agents - Healthcare Account Specialist as prior in our Metro Manila sites

Easy and Fast One-day Hiring Process Earn up to 25k monthly plus more benefits This is for urgent hiring, don't miss this opportunity and if you have these skills, this might be your sign to apply here at Sapient and BE PART OF A GROWING TEAM AND ENJOY WORK-LIFE BALANCE

Responsibilities:

• Answer incoming customer calls and inquiries regarding medical services, insurance coverage, and billing.
• Resolve customer complaints and escalate issues as needed.
• Update and maintain accurate records of customer interactions, transactions, and order details in the system.

Qualifications:

• At least High school graduate
• No prior experience necessary—we provide comprehensive training
• Good communication and interpersonal skills
• At least conversant in the English language with confidence
• Excellent problem-solving and decision-making abilities
• Ability to thrive in a fast-paced and dynamic environment

What we Offer:

• Fix weekends off
• Pioneer, Non-voice, and Easy Accounts Available
• Day Shift, Night Shift, and Shifting Schedules

THIS IS FOR AN ONSITE WORK SET UP ONLY

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

• Graduate of any 4-year college course, medical allied (preferred).
• Experience in insurance / HMO and value-adding services preferred.
• Good communication, coordination, and negotiation skills.
• With BPO experience handling healthcare account is an advantage but not required.
• Okay for project-based employment.
• Work assignment: Meralco Avenue, Ortigas Pasig City
• Can start ASAP

A. JOB PURPOSE

The HMO Coordinator or Member Relations Representative (MRR)/HMO Officer is responsible for providing effective and efficient administrative support to the Hospital Liaison Officers Department together with the rest of the departments of the Medical Services Division and the Sales and Marketing Division to insured members. They assist IHC members during their availments mainly and ensure the proper implementation of the "Magandang Araw" Customer Service. Experience and ensure the proper and appropriate implementation of plan policies resulting in utilization management.

B. DUTIES AND RESPONSIBILITIES

This role will ensure that IHC members are assisted during their availment to contribute to employee engagement, and retention in proportion but not limited to the medical needs of the company and covered companies and individuals.

1. Customer Service

1.1. Ensure that IHC members availing of medical services in accredited medical facilities are assisted accordingly.

1.2. Ensure that members' queries, concerns and/or complaints are attended to in a timely and appropriate manner prior to elevating this to the Medical Director.

1.3. Keep abreast with current regulations and policies affecting medical services and implementation and provide proper guidance to all concerned.

1.4. Be up to date on medical updates, utilization management, newly onboarded and renewed account benefits.

1.5. Maintain company spiels and lines that will entice members to call them regarding their benefit including medical network inquiries, concerns and LOA issuances.

1.6. Ensure that the member's coverage and benefits is discussed appropriately and issue the letter of authorization (LOA).

1.7. Assist the member during their availment by checking medical facility charges and professional fees to maximize member's benefits and to prevent incurrence of excess charges beyond the benefit coverage and advises member on non-covered charges.

1.8. Issue LOAs and assist members for MD scheduling of appointments and other services.

1.9. Distribute service evaluation survey forms and ensure that the targeted confidence level and margin of error is met on a monthly basis.

1.10. Receive comments, suggestions and feedback and collates survey results.

2. Utilization Management

2.1. Ensure proper gatekeeping and utilization management through:

2.1.1. Determination of validity of the member status, benefit coverage and maximum available limit prior issuance of LOAs through information garnered from the Medical Account System (MAS).

2.1.2. Review of cases and checking necessity of availment and need for medical procedure.

2.1.3. Coordination of catastrophic cases to superior for case management.

2.2. Participate in current process review and development of new and / or revised work processes, policies and procedures relating to Utilization Management responsibilities.

3. Relationship Management

3.1. Build and maintain good rapport with IHC's designated Hospital Care Director (HCD) in the hospital, IHC's roster of accredited physicians and provider personnel.

3.2. Assist the Provider Management Division by:

3.2.1. Increasing the roster of accredited medical facilities especially physicians.

3.2.2. Do on the spot or provisional accreditation of member accessed/requested physicians and/or medical facilities.

3.2.3. Updating the records of physicians as the need arises.

3.2.4. Conducting initial claims for reimbursement screening submitted by members and inform members of any lacking documents, if any.

3.2.5. Monitor claims and inform members of acceptance/denial and release of checks.

• Graduate of any 4-year college course, medical allied (preferred).
• Experience in insurance / HMO and value-adding services preferred.
• Good communication, coordination, and negotiation skills.
• With BPO experience handling healthcare account is an advantage but not required.
• Okay for project-based employment.
• Can start ASAP

A. JOB PURPOSE

The HMO Coordinator or Member Relations Representative (MRR)/HMO Officer is responsible for providing effective and efficient administrative support to the Hospital Liaison Officers Department together with the rest of the departments of the Medical Services Division and the Sales and Marketing Division to insured members. They assist IHC members during their availments mainly and ensure the proper implementation of the "Magandang Araw" Customer Service. Experience and ensure the proper and appropriate implementation of plan policies resulting in utilization management.

B. DUTIES AND RESPONSIBILITIES

This role will ensure that IHC members are assisted during their availment to contribute to employee engagement, and retention in proportion but not limited to the medical needs of the company and covered companies and individuals.

1. Customer Service

1.1. Ensure that IHC members availing of medical services in accredited medical facilities are assisted accordingly.

1.2. Ensure that members' queries, concerns and/or complaints are attended to in a timely and appropriate manner prior to elevating this to the Medical Director.

1.3. Keep abreast with current regulations and policies affecting medical services and implementation and provide proper guidance to all concerned.

1.4. Be up to date on medical updates, utilization management, newly onboarded and renewed account benefits.

1.5. Maintain company spiels and lines that will entice members to call them regarding their benefit including medical network inquiries, concerns and LOA issuances.

1.6. Ensure that the member's coverage and benefits is discussed appropriately and issue the letter of authorization (LOA).

1.7. Assist the member during their availment by checking medical facility charges and professional fees to maximize member's benefits and to prevent incurrence of excess charges beyond the benefit coverage and advises member on non-covered charges.

1.8. Issue LOAs and assist members for MD scheduling of appointments and other services.

1.9. Distribute service evaluation survey forms and ensure that the targeted confidence level and margin of error is met on a monthly basis.

1.10. Receive comments, suggestions and feedback and collates survey results.

2. Utilization Management

2.1. Ensure proper gatekeeping and utilization management through:

2.1.1. Determination of validity of the member status, benefit coverage and maximum available limit prior issuance of LOAs through information garnered from the Medical Account System (MAS).

2.1.2. Review of cases and checking necessity of availment and need for medical procedure.

2.1.3. Coordination of catastrophic cases to superior for case management.

2.2. Participate in current process review and development of new and / or revised work processes, policies and procedures relating to Utilization Management responsibilities.

3. Relationship Management

3.1. Build and maintain good rapport with IHC's designated Hospital Care Director (HCD) in the hospital, IHC's roster of accredited physicians and provider personnel.

3.2. Assist the Provider Management Division by:

3.2.1. Increasing the roster of accredited medical facilities especially physicians.

3.2.2. Do on the spot or provisional accreditation of member accessed/requested physicians and/or medical facilities.

3.2.3. Updating the records of physicians as the need arises.

3.2.4. Conducting initial claims for reimbursement screening submitted by members and inform members of any lacking documents, if any.

3.2.5. Monitor claims and inform members of acceptance/denial and release of checks.

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
• Employee discount
• Health insurance
• Paid training

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, New-Grad, Permanent

Pay: Php17, Php25,000.00 per month

Benefits:

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

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

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

We are urgently hiring for a Healthcare Specialist Representative at Metro Manila Sites One-day Hiring Process Earn up to 25k monthly Plus more benefits This is a limited slot. Apply now

Responsibilities:

• Manage healthcare-related inquiries, claims, and service requests with accuracy and compassion.

• Provide information about healthcare services, policies, and procedures.

• Process healthcare claims, patient information, and service requests efficiently.

• Resolve patient concerns and escalate complex issues as needed.

• Ensure compliance with healthcare regulations and confidentiality standards.

• Maintain detailed records of interactions, claims, and service requests.

Qualifications:

• High school diploma or equivalent required; a degree in medical allied courses, or a related field is a plus.

• No prior healthcare experience necessary—we provide comprehensive training

• Strong communication and interpersonal skills.

• Attention to detail and effective problem-solving abilities.

• Familiarity with healthcare systems and terminology is a plus but not required.

• Ability to work independently and as part of a team in a fast-paced environment.

Interested? Submit your application and receive a quick response within a day

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