Health Care Account-Call Center Agent
Synlink Recruitment Outsourcing Co. Inc.
Job Description
Benefits
Employee Recognition and Rewards
Incentives
Government Mandated Benefits
Pag-Ibig Fund, Philhealth, SSS/GSIS
Insurance Health & Wellness
HMO
- Member/Patient Interaction* Respond to inbound calls from members, patients, and healthcare providers regarding eligibility, benefits, claims status, and enrollment inquiries.* Clearly explain complex health plan terminology, including deductibles, co-pays, co-insurance, out-of-pocket maximums, and prior authorization requirements.
- Claims & Billing Support* Investigate and resolve claims disputes, billing discrepancies, and provider payment issues by liaising with internal departments.* Guide members through the process of selecting a primary care physician (PCP) or navigating the provider network.
- Data Confidentiality & Compliance* Strictly adhere to all HIPAA (Health Insurance
- Portability and Accountability Act) regulations and company data privacy policies when handling Protected Health Information (PHI).* Accurately and thoroughly document all inquiries, transactions, and resolutions in the CRM system, ensuring compliance records are maintained.
- Quality & Performance* Maintain high performance scores for Quality Assurance (QA) audits, specifically focusing on process accuracy and regulatory compliance.* Aim for a high First Call Resolution (FCR) rate while managing Average Handle Time (AHT) efficiently.
Scigee Bustillos
HR OfficerSynlink Recruitment Outsourcing Co. Inc.
Reply 5 Times Today
Working Location
Market! Market!. McKinley Pkwy, Taguig, Metro Manila, Philippines
Posted on 11 November 2025
Explore similar jobs
View more similar jobsCall Center Agent
Metacom Business Process Outsourcing Solution Inc.C$468-701[Monthly]
On-site - TaguigNo Exp RequiredBachelorFull-time
Brian Lamban CLSSWBHR Manager
Call Center Agent
Synlink Recruitment Outsourcing Co. Inc.C$421-654[Monthly]
On-site - TaguigNo Exp RequiredHigh/Senior High SchoolFull-time
Marianie VeranoRecruitment Associate
Call Center Agent
JetSon Manpower AgencyC$351-584[Monthly]
On-site - TaguigNo Exp RequiredHigh/Senior High SchoolFull-time
Camila JalimaoRecruiter
Corporate Banking Agent
J-K Network ServicesC$421-468[Monthly]
On-site - TaguigFresh Graduate/StudentHigh/Senior High SchoolFull-time
J-K Recruiter_ExecRecruiter
Call Center Agent
Dynamic Talent SolutionsC$818-935[Monthly]
On-site - Taguig1-3 Yrs ExpHigh/Senior High SchoolFull-time
Andrew Julius GuintoRecruitment Specialist
Synlink Recruitment Outsourcing Co. Inc.
Unfinanced / Angel
<50 Employees
Recruitment Firm
View jobs hiring
Sign In to Chat with Boss
Bossjob Safety Reminder
If the position requires you to work overseas, please be vigilant and beware of fraud.
If you encounter an employer who has the following actions during your job search, please report it immediately
- withholds your ID,
- requires you to provide a guarantee or collects property,
- forces you to invest or raise funds,
- collects illicit benefits,
- or other illegal situations.
