Remote Customer Service Advocate | Healthcare jobs in United States
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Imagenet · 8 hours ago

Remote Customer Service Advocate | Healthcare

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. The Healthcare Customer Service Advocate - Provider Enrollment is primarily responsible for coordinating, managing, and maintaining enrollment services for Providers/Practices, as well as establishing and maintaining enrollment relationships with Payers/Networks.

Information Technology

Responsibilities

Monitor all documents and data exchanged within the Enrollment database to ensure quality of services, and accurate completion of Enrollment forms and processes. Coordinate with Providers to ensure that proper enrollment ensues based on individual Payer requirements
Organize, label and file enrollment forms, applications and documents
Document all enrollment packages prior to transmitting them to Payer. Coordinate with the Payer to ensure that all enrollment requirements are met
Train clients (Providers/Office Staff) how to use all features of the enrollment application services
Submit enrollment forms and applications to Payers as needed
Complies with all Federal, State, accreditation and institutional policies and procedures
Consistently meets company and department policies and expectations including those surrounding attendance
Exhibits exceptional internal and external customer service with all persons with whom you work
Always maintain confidentiality
Observe security responsibilities including, but not limited to:
Utilize appropriate communication channels for the movement of data. If using email, use the secure email option. If in FTP, utilize SFTP or encryption of the data before sending. Send messaging via application to utilize TLS protocols
Use the minimum data necessary to identify transactions. Claim ID, Claim File Upload ID, ERA Trace Number/Check ID. Only when those identities are not enough for the recipient to find the transaction, then use the minimum PHI needed to identify the transaction
Security is everyone’s job. Look out for, and report, anything that is suspicious or just doesn’t seem correct

Qualification

Provider EnrollmentHealthcare ProcessesICD-9 & ICD-10 CodingBPO Healthcare ExperienceMS Office ProficiencyAnalytical SkillsMultitaskingOrganizational SkillsCommunication SkillsAttention to Detail

Required

Associate degree or equivalent experience preferred
At least 4 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)
Can start ASAP. This is an urgent hiring
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

Benefits

🏠 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

Imagenet

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Imagenet is an IT company that provides call center solutions.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
BV Investment Partners
2022-12-07Private Equity

Leadership Team

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Patrick Smith
Chief Customer Officer
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Company data provided by crunchbase