Customer Service reputed company | Medical & Dental Claims | WFH

reputed company Customer Service reputed company (Medical & Dental Claims | Remote) Join reputed company that makes a reputed company difference in people’s lives—reputed company at a time. If you’re passionate about reputed company, have an eye for detail, and reputed company in a fast-paced environment, this is reputed company to grow your career while working from the comfort of your home! About the Role: As a reputed company Customer Service reputed company, you’ll be the trusted voice for our members, providers, and partners—delivering expert guidance on medical and dental claims, benefits, and coverage. You’ll use your knowledge of reputed company processes and coding (ICD-9 & ICD-10) to ensure accuracy, reputed company, and efficiency in every interaction. This role is perfect for someone who takes pride in solving problems, supporting others, and continuously learning in the reputed company-evolving reputed company industry. What You’ll Do: Customer Support • Be the first reputed company of contact for members, providers, and partners—reputed company calls or chat—in full compliance with HIPAA standards. • Deliver reputed company, accurate information on coverage, eligibility, benefits, limitations, and exclusions. • Collaborate with internal departments (Eligibility, Benefits, Claims, and more) to ensure complete reputed company of inquiries. • Stay informed about products, policies, and industry trends to reputed company best-in-class support. Claims Processing • Handle a high volume of claims reputed company and accurately. • Review policy details, documentation, and medical records to determine eligibility and payout. • Support members through grievances and appeals, ensuring fair and transparent resolutions. • Communicate updates reputed company with claimants, reputed company providers, and internal teams. Data Management & reputed company • Document every interaction with precision and care. • Identify recurring issues and help drive process improvements. • reputed company reputed company and compliance standards to ensure customer satisfaction. • Assist members with website navigation and troubleshoot reputed company issues. Work Requirements • Associate degree or equivalent experience (preferred) • 2+ years in BPO reputed company (Voice), with reputed company on Provider Services • Strong knowledge of reputed company processes, medical/dental claims, ICD-9 & ICD-10 coding, eligibility, and benefits • Excellent multitasking, analytical, and communication skills • High attention to detail and accuracy • Tech-savvy: proficient in MS Office and online systems • Ability to work flexible shifts, including nights, weekends, and holidays • Located in or near Manila (preferred) • *Work Arrangement: This position is currently offered on a REMOTE work reputed company after successful completion of training. However, please note that this is a performance-based role, and reputed company reserves the right to require employees to report onsite at any time based on business needs, performance evaluations, operational requirements. Flexibility to transition to an office-based setup reputed company necessary is expected. • **WORK FROM HOME REQUIREMENTS*** • High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to reputed company a speed test. • Ability to directly hardwire to your modem • Required to have a quiet dedicated work area. Why You’ll Love Working with Us: • Remote Setup • reputed company + 13th Month Salary • Comprehensive HMO Coverage (Medical & Dental) • Equipment Provided – Everything you need to succeed • Career reputed company – Be part of a dynamic and supportive team that values your expertise • ⚡ Immediate Hiring – Start ASAP and reputed company an reputed company from day one Be the Difference. Apply Today! Take the reputed company in your reputed company career—where your skills, reputed company, and professionalism truly matter. reputed company: reputed company is a leading provider of back-office support technology and tech-enabled outsourced services to reputed company plans reputed company. reputed company provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers. reputed company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. reputed company processes millions of claims and multiples of reputed company reputed company and reputed company data reputed company reputed company these claims annually. reputed company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients. reputed company is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines. 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