Remote Healthcare Customer Service Advocate

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, ensuring all enrollment requirements are fulfilled.

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
• Coordinate and monitor management of enrollment data and documents. Communicate with other departments (Sales/Support) when a Provider is approved
• Able to communicate successfully with clients with consistently positive feedback
• Regularly meets the productivity and accuracy requirements established

Requirements:

• 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
• Associate degree or equivalent experience preferred