About The Position

We are looking for a detail-oriented and customer-focused Provider Enrollment Advocate to support the end-to-end enrollment of healthcare providers with payers. In this role, you will work closely with providers, office staff, payers, and internal teams to ensure enrollment applications are accurate, complete, and submitted on time. This role is ideal for someone with strong healthcare BPO experience who enjoys coordination work, managing documentation, following through on pending items, and helping providers move smoothly through the enrollment process. If you are organized, proactive, and comfortable handling healthcare-related requirements in a fast-paced environment, this may be a strong fit for you.

Requirements

  • Associate degree or equivalent experience preferred
  • Minimum 4 years BPO healthcare experience (voice account required)
  • Experience in Provider Enrollment, Provider Services, or Credentialing strongly preferred
  • Knowledge of healthcare processes including: Medical & dental claims, Eligibility & benefits, ICD-9 / ICD-10 coding (basic understanding), Credentialing standards
  • Strong analytical, organizational, and multitasking skills
  • Proficient in MS Office and web-based systems
  • Must be willing to work shifting schedules (night shift, weekends, holidays if needed)
  • Must be located in or near Metro Manila (preferred)
  • Immediate availability required (ASAP start)
  • Requires a stable primary internet connection of at least 50Mbps
  • Reliable backup connection to ensure continuity of remote work.
  • Ability to directly hardwire to your modem
  • Required to have a quiet dedicated work area.

Nice To Haves

  • Strong attention to detail, organization, and accuracy
  • Excellent communication and customer service skills
  • Ability to manage multiple cases and deadlines efficiently
  • Fast learner with strong adaptability to new systems and processes
  • Proactive, self-reliant, and solution-oriented mindset
  • Consistently meets productivity and quality standards
  • Strong coordination and follow-through on end-to-end enrollment processes

Responsibilities

  • Manage and monitor provider enrollment data, ensuring accuracy, completeness, and timely updates
  • Coordinate with healthcare providers and office staff to ensure proper enrollment based on payer-specific requirements
  • Prepare, organize, label, and maintain all enrollment forms, applications, and supporting documents
  • Submit enrollment packages to payers and ensure all requirements are properly fulfilled
  • Track enrollment status from initiation to completion and ensure timely resolution of pending items
  • Communicate with providers and payers regarding enrollment status, requirements, and updates
  • Train providers or office staff on enrollment application processes and system usage
  • Ensure compliance with all federal, state, accreditation, and company policies
  • Maintain strict confidentiality of all provider and patient-related information
  • Follow security protocols for data handling, transmission, and storage (SFTP, encryption, TLS, PHI minimization)
  • Report any suspicious activity or security concerns immediately
  • Collaborate with internal teams (Sales, Support, Operations) for provider onboarding and approvals

Benefits

  • Competitive Pay + 13th Month Salary
  • Comprehensive HMO Coverage (Medical & Dental)
  • Equipment Provided
  • Career Growth
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