Remote Customer Service Advocate | Healthcare

Title: Healthcare Customer Service Advocate

Work Set-Up: Remote

Location: Makati, Valero

Expected Start Date: Jan 5, 2026

Salary: up to Php 35,000

Position Summary:

As a Healthcare Customer Service Advocate, you will serve as a trusted resource for members, providers, and partners by delivering accurate, empathetic support related to medical and dental claims, benefits, and coverage. You will apply your knowledge of healthcare processes and coding systems (ICD-9 and ICD-10) to ensure efficient and effective service.

In this role, you will also manage provider enrollment and credentialing, supporting healthcare providers and practices throughout the enrollment lifecycle. Responsibilities include preparing, submitting, and tracking enrollment documentation, ensuring all requirements are met, maintaining accurate records, and collaborating with payers and networks to facilitate timely approvals.

This position is ideal for a detail-oriented problem solver who values continuous learning and excellence in healthcare support.

This is an URGENT hiring - only those who can complete medical + requirements will be prioritized.

Key Responsibilities:

• Manage provider enrollment and credentialing from initiation to completion, ensuring accuracy, quality, and compliance with payer, federal, state, accreditation, and organizational requirements.
• Prepare, submit, track, and maintain enrollment and credentialing applications and supporting documentation within enrollment systems.
• Coordinate directly with providers, office staff, payers, and networks to meet enrollment requirements and resolve issues in a timely manner.
• Serve as the primary point of contact for members, providers, and partners via phone or chat, delivering accurate information on eligibility, benefits, coverage, and claims in full HIPAA compliance.
• Process and review a high volume of medical and dental claims, determining eligibility, payouts, and supporting grievances and appeals.
• Collaborate with internal teams (Eligibility, Benefits, Claims, and related departments) to ensure complete and efficient issue resolution.
• Train providers and staff on enrollment tools and processes, and assist members with website navigation and access issues.
• Maintain precise documentation of all interactions, safeguard PHI, and adhere to data security and confidentiality standards.
• Identify trends, recurring issues, and opportunities for process improvement to enhance service quality and customer satisfaction
  

 Qualifications:

• Associate degree or equivalent experience preferred.
• At least 2 years of experience in BPO Healthcare (voice), with a focus on Provider Enrollment or Provider Services.
• Strong knowledge of healthcare processes, including medical and dental claims, eligibility, benefits, ICD-9 & ICD-10 coding, and basic credentialing standards.
• Excellent analytical, multitasking, organizational, and communication skills with strong attention to detail and accuracy.
• Tech-savvy, with 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).
  

Requirements:

• Ability to work flexible shifts, including nights, weekends, and holiday
  
• Must reside in Metro Manila or nearby provinces
• Strong multi-tasking skills and able to adapt to changing expectations and priorities
• Able to exercise a high level of tact and discretion in both internal and external interactions
• Strong adherence to daily schedules, tasks, and performance metrics
  
• Can start ASAP
  

**Work Arrangement: This position is currently offered on a REMOTE work basis. However, please note that this is a performance-based role, and the 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 when necessary is expected.

***WORK FROM HOME REQUIREMENTS***

• Requires a stable primary internet connection of at least 50Mbps,
• Reliable backup connection to ensure continuity of remote work.
• Required to provide a speed test during interview (initial)
• Ability to directly hardwire to your modem
• Required to have a quiet dedicated work area.

Why You’ll Love Working with Us:

• 🏠 Work Remotely
• 💰 Competitive Pay + 13th Month Salary
  
• 🩺Comprehensive HMO Coverage (Medical & Dental)
• 💻 Equipment Provided – Everything you need to succeed
• 🚀 Career Growth – Be part of a dynamic and supportive team that values your expertise
• ⚡ Immediate Hiring – Start ASAP and make an impact from day one

COMPANY OVERVIEW:

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet 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. 

The 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.  The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually.  The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.