Medical Liaison
3 weeks ago
Responsibilities
Main point of contact for corporate accounts, ensuring proper adjudication of member availments in the group hospitalization programConducts visits for confined clients, informs about benefits, advises on cost-saving, and oversees discharge processesMonitors reimbursement claims, ensuring accuracy in computations and timely processingWorks with patients and providers on hospital documentation, addressing various service needsConsults with Medical Coordinators and Network Provider Physicians, providing recommendations for approvalsMaintains strong relationships, acts as an authorized company representative in discussions and meetingsQualifications
Must be willing to work onsite in OrtigasMust be willing to do occasional night shiftsFamiliarity with medical indications for adjudicationPrior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageousWillingness to conduct hospital visitsProficient problem-solving abilitiesCurious, results-driven, ownership mentality with growth mindsetExcellent verbal and written communicationsCollaborative team player with the ability to adapt quickly in a fast-paced environmentPassion for innovation in healthcare-
Compliance Officer
4 weeks ago
Metro Manila, Philippines Aljeron Medical Enterprises, Inc. Full timeQualifications:Graduate of Bachelor of Science in Pharmacy, Chemistry, or equivalent.Must have a valid PRC license.With at least 1 year of work experience in the regulatory industry, preferably in Medical Devices.Experience with ISO certification (i.e., ISO 13485) is an advantageKnowledge and skills in Regulatory Documentation, Compliance, and understanding...
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Medical Social Worker
1 week ago
Metro Manila, Philippines UERM Memorial Medical Center Full timeInterviews, evaluates and classifies patients. Conducts social case management/social work intervention to patients referred with social, emotional or environmental problems affecting their medical situation; also those patients who are considered abandoned, neglected and victim of different types of abuse.Helps patient adjust to his environment conditions...
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Liaison Officer
3 months ago
Metro Manila, Philippines AIA Philippines Full timeDUTIES AND RESPONSIBILITIESChecks admitted members with the admitting section of each assigned hospitalReport admitted members with all necessary information to the head officeVisit and explains to the admitted members the benefits and limitations of his/her coverageField Liaison Officer shall inform the required documents and discharge process of the said...
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Liaison Staff
3 weeks ago
Metro Manila, Philippines Leong Hup (Philippines), Incorporated Full timeWe are seeking a driven and organized Liaison Staff to join our team at Leong Hup (Philippines), Incorporated in Quezon City Metro Manila. This is a full-time position that will play a vital role in supporting our administrative and office operations.What you'll be doingServing as the primary point of contact for internal and external stakeholders, ensuring...
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Provider Relations Coordinator
1 month ago
Metro Manila, Philippines Selectcare Philippines Inc Full timeCandidate must possess at least a Bachelor's/College Degree (Nursing, Physical Therapy, or any paramedical/allied medical course preferred)With good written and oral communication skillsExcellent people skillsComputer literate in MS Excel, MS Word.Proficient in the English languageHighly motivatedBackground / experience in HMO setting / Medical Liaison will...
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Medical Social Worker
1 week ago
Manila, National Capital Region, Philippines UERM Memorial Medical Center Full timeInterviews, evaluates and classifies patients. Conducts social case management/social work intervention to patients referred with social, emotional or environmental problems affecting their medical situation; also those patients who are considered abandoned, neglected and victim of different types of abuse.Helps patient adjust to his environment conditions...
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Liaison Officer
3 months ago
Manila, National Capital Region, Philippines AIA Philippines Full timeDUTIES AND RESPONSIBILITIESChecks admitted members with the admitting section of each assigned hospitalReport admitted members with all necessary information to the head officeVisit and explains to the admitted members the benefits and limitations of his/her coverageField Liaison Officer shall inform the required documents and discharge process of the said...
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Medical Utilization Coordinator
4 weeks ago
Metro Manila, Philippines Selectcare Philippines Inc Full timeQualifications: - Doctor of Medicine - Computer literate (MSWord, Excel, Access) - Good written & oral communication skills - Able to work independently with minimal supervision and exercise good judgment - Excellent people skills - Highly...
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Medical Coding Manager
2 weeks ago
Metro Manila, Philippines Access Healthcare Services Manila, Inc. Full timeAccess Healthcare is looking for an experienced Medical Coding - Manager to oversee our Pioneer Coding Operations in Pasay City site. The ideal candidate will have a background in Nursing or Other Medical Allied course, and be a Certified Medical Coder (AHIMA/AAPC). The role requires a minimum of 5-7 years of experience managing both inpatient and outpatient...
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Liaison Staff
3 weeks ago
Manila, National Capital Region, Philippines Leong Hup (Philippines), Incorporated Full timeWe are seeking a driven and organized Liaison Staff to join our team at Leong Hup (Philippines), Incorporated in Quezon City Metro Manila. This is a full-time position that will play a vital role in supporting our administrative and office operations.What you'll be doingServing as the primary point of contact for internal and external stakeholders, ensuring...
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Healthcare Liaison Officer
3 weeks ago
Metro Manila, Philippines United Coconut Planters Life Assurance Corp (Cocolife) Full timeResponsible for tracking and monitoring in-patient utilization, relationship building with accredited service providers, and attending to all inquiries of healthcare members.Qualifications:College degree, preferably nursing or any medical-related courses; if not a medical-allied graduate, must have an extensive background in the healthcare industry.Willing...
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Assistant Manager for Medical Management
2 months ago
Metro Manila, Philippines Carelon Global Solutions Full timeResponsible for serving as the operations point of contact for Medical Management day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets. Primary duties may include, but are not limited to: Acts as a liaison for both internal and external groups for program initiatives. Help create, launch and drive...
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Inpatient Liaison Officer
4 weeks ago
Manila, National Capital Region, Philippines Manpower Philippines Full timeThis is for a direct hire and permanent position. Job SummaryThe Liaison Officer / Inpatient Services Specialist will be responsible for generating, reviewing, approving, disapproving, issuing, and updating of Letters of Authorization within approved authority limits. They will also be responsible for keeping track of and updating of the member billing as...
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Medical Utilization Coordinator
4 weeks ago
Manila, National Capital Region, Philippines Selectcare Philippines Inc Full timeQualifications:Doctor of Medicine Computer literate (MSWord, Excel, Access) Good written & oral communication skillsAble to work independently with minimal supervision and exercise good judgmentExcellent people skillsHighly motivatedBackground in HMO setting / medical liaison experience preferred Job Summary:a. Do utilization rounds of admitted patients with...
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Inpatient Liaison Officer
4 weeks ago
Metro Manila, Philippines Manpower Philippines Full timeThis is for a direct hire and permanent position. Job SummaryThe Liaison Officer / Inpatient Services Specialist will be responsible for generating, reviewing, approving, disapproving, issuing, and updating of Letters of Authorization within approved authority limits. They will also be responsible for keeping track of and updating of the member billing as...
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Medical Coding Manager
2 weeks ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeAccess Healthcare is looking for an experienced Medical Coding - Manager to oversee our Pioneer Coding Operations in Pasay City site. The ideal candidate will have a background in Nursing or Other Medical Allied course, and be a Certified Medical Coder (AHIMA/AAPC). The role requires a minimum of 5-7 years of experience managing both inpatient and outpatient...
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Medical Records Analyst
1 month ago
Metro Manila, Philippines Visaya Knowledge Process Outsourcing Corporation Full timeResponsibilities: Compiles statistical data, such as admissions, discharges, deaths, births, and types of treatment given. Abstracts information for the medical record. Analyzes records in accordance with the HIM analysis procedure with a minimum of 95% accuracy. Performs quantity and quality checks on scanned medical record information as part of Quality...
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Compliance Officer
4 weeks ago
Manila, National Capital Region, Philippines Aljeron Medical Enterprises, Inc. Full timeQualifications:Graduate of Bachelor of Science in Pharmacy, Chemistry, or equivalent.Must have a valid PRC license.With at least 1 year of work experience in the regulatory industry, preferably in Medical Devices.Experience with ISO certification (i.e., ISO is an advantageKnowledge and skills in Regulatory Documentation, Compliance, and understanding of...
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Customer Service Staff
1 week ago
Metro Manila, Philippines Selectcare Philippines Inc Full timeCandidate must possess at least a Bachelor's/College DegreeWith good written and oral communication skillsExcellent people skillsComputer literate in MS Excel, MS Word.Proficient in the English languageFresh graduates welcome ; those with work experience in customer service a plus factorBackground / experience in medical liaison will be an advantageFast...
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Assistant Manager for Medical Management
2 months ago
Manila, National Capital Region, Philippines Carelon Global Solutions Full timeResponsible for serving as the operations point of contact for Medical Management day to day operations, including but not limited to, facilitating issue resolution, meeting goals and targets. Primary duties may include, but are not limited to: Acts as a liaison for both internal and external groups for program initiatives. Help create, launch and drive...