HMO Medical Benefits Associate
2 weeks ago
About Us
Group of Companies, which is on a mission to provide the best-in-class health plans for small-medium enterprises (SMEs) in the Philippines.
HPPI's 30+ years of providing care, combined with Hive Health's innovative tech capabilities, enables the Hive Health Group of Companies to offer comprehensive, hassle-free digital health plans through our all-in-one platform. Together, we are revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time.
Responsibilities
- Main point of contact for corporate accounts, ensuring proper adjudication of member availments in the group hospitalization program
- Conducts visits for confined clients, informs about benefits, advises on cost-saving, and oversees discharge processes
- Monitors reimbursement claims, ensuring accuracy in computations and timely processing
- Works with patients and providers on hospital documentation, addressing various service needs
- Consults with Medical Coordinators and Network Provider Physicians, providing recommendations for approvals
- Maintains strong relationships, acts as an authorized company representative in discussions and meetings
- Must be willing to work onsite in Ortigas
- Must be willing to do occasional night shifts
- Familiarity with medical indications for adjudication
- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
- Willingness to conduct hospital visits
- Proficient problem-solving abilities
- Curious, results-driven, ownership mentality with growth mindset
- Excellent verbal and written communications
- Collaborative team player with the ability to adapt quickly in a fast-paced environment
- Passion for innovation in healthcare
- Health benefits and sick leaves
- Career development and mentorship
- Access to global tech and advisory support from Harvard, Stanford, and more
vT8uHMMc52
#J-18808-Ljbffr
-
Medical Allied Associates
2 weeks ago
Pasig, National Capital Region, Philippines Recruiter PH Full timeGraduate of medical, allied health, and life science coursesAt least 1 year prior authorization experience from a local or international HMOComputer literate, familiar with MS Word and ExcelWilling for onsite in Ortigas PasigWilling to work on Nightshift (paid night differential)Salary package: 30, ,000 (depending on qualifications) Plus night differential...
-
Inpatient Medical Coder
2 weeks ago
Pasig, National Capital Region, Philippines R1 RCM Philippines Inc Full timeWith at least 2 Years of Inpatient Coding Experience Must have an active Medical Coding Certification (CIC/CCS/CPC) Experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through...
-
Outpatient Medical Coder
2 weeks ago
Pasig, National Capital Region, Philippines R1 RCM Philippines Inc Full timeMust have an active Medical Coding Certification (CPC, COC, CCS and/or CCS-P) With at least 2+ years of OP (SDS and/or ED – E/M) coding experience Advantage will be given to those with Charge Capture/Charge Audit, OP QA or Auditor experience With experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting,...
-
Healthcare Associate
1 week ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full timeHealthcare AssociateThe successful hire is responsible for the following tasks: Answering inbound calls; taking detailed information and relaying messages to doctors, physicians, or medical staff members. Calls may come from patients or medical facilities. Answer the caller's questions ranging from asking about office hours to requesting copies of medical...
-
Healthcare Associate
2 weeks ago
Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full timeHealthcare Associate The successful hire is responsible for the following tasks: Answering inbound calls; taking detailed information and relaying messages to doctors, physicians, or medical staff members. Calls may come from patients or medical facilities. Answer the caller's questions ranging from asking about office hours to requesting copies of medical...
-
Medical Sales Head
2 weeks ago
Pasig, National Capital Region, Philippines WHR Global Consulting Full timeBenefitsPosition is full time, six (6) months probation periodWorking Days & Time: Monday – Thursday, 8:00AM – 6:00PM / Friday, 8:00AM – 5:00PMProduct Training: Company providedCar Plan: As per company policy (supervisory & managerial position only)Commission: As per company policyMeal & Transportation Allowance: Company providedCommunication...
-
medical operations manager
2 weeks ago
Pasig, National Capital Region, Philippines Value Care Health Systems, Inc Full timeWe are looking for a MEDICAL OPERATIONS MANAGER to join our growing TEAMThe Medical Operations Manager provides, in collaboration with the Medical Director, operational expertise, medical decision support, and direction for the day-to-day activities in the areas of medical management and medical affairs for the company. The Medical Division Manager ensures...
-
Associate Director
2 weeks ago
Pasig, National Capital Region, Philippines R1 RCM Philippines Inc Full timeWorking in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful...
-
Benefits and Employee Services Associate
2 weeks ago
Pasig, National Capital Region, Philippines Manila Electric Company Full timeThank you for your interest in instituting good governance practice in MeralcoIf you are aware of any violation of the following corporate governance rules, committed by any our directors, officers or employees, related to the following:Violation of the Corporate Governance RulesViolation of the Code of Ethics and Company Code of Employee Discipline or other...
-
BPO Medical Assistant
1 week ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeWith a team of over 7,000 professionals spread across 9 delivery centers in the Philippines, we proudly stand as the largest provider of offshoring solutions in the country.Medical Assistant, Embrace Your Unique QualitiesA Medical Assistant is responsible for:Accompanying/assisting medical providers during patient encounters.Accurately recording the history...
-
Compensation and Benefits Specialist
2 weeks ago
Pasig, National Capital Region, Philippines Zigzag Philippines Full timeCompensation and Benefits Specialist | Onsite| Dayshift Remuneration & Benefits (Human Resources & Recruitment) Full time Add expected salary to your profile for insights ZigZag is looking for a Compensation and Benefits Specialist to join our teamAbout the roleThe Compensation and Benefits Specialist will undertake a wide range of HR tasks, like, but not...
-
Medical Receptionist
1 week ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeMedical Receptionist (Nurse) | Night Shift | Ortigas CenterWith over 7,000 professionals across 9 delivery centers in the Philippines, we remains the country's largest offshoring solutions provider.Medical Receptionist, be 100% YOUA Medical Receptionist is expected to perform the following tasks:Patients call our surgery clinic mainly to get an appointment...
-
Admin Medical Assistant
2 weeks ago
Pasig, National Capital Region, Philippines Manpower Core Group Inc. Full timeJob Responsibilities PARS for medications and procedures Referral coordination to specialist Record requests from hospitals or specialist Give instructions to patients as instructed by Nurse Practitioner Ensure all related reports, labs and information are filed and available in patients' medical records prior to their appointment Take telephone messages and...
-
Healthcare Account
2 weeks ago
Pasig, National Capital Region, Philippines Talent Outsourcing Channel Solutions Full timeTo kick things off: - Supervises all operations in the billing department. - Recruits, trains, and oversees billing associates. - Proficient in using commonly used bookkeeping software. - Conducts training for billing associates on best practices in the department. - Develops policies and procedures for the billing department. - Resolves payment and billing...
-
Healthcare Account
1 week ago
Pasig, National Capital Region, Philippines Talent Outsourcing Channel Solutions Full timeTo get you started:Oversees all billing department operations.Hires, onboards, and manages billing associates.Knows how to use popular bookkeeping software.Trains billing associates on departmental best practices.Creates all billing department policies and procedures.Investigates and resolves payment and billing issues.Works directly with customers and...
-
Registered Medical Technologist
2 weeks ago
Pasig, National Capital Region, Philippines Accudetek Health Diagnostics Full timeQualifications:· Graduate of BS Medical Technology· Licensed Medical Technologist (PRC)· Experience as Medical Technologists is advantage· Having a Drug analyst and/ or Biosafety certificate is an advantage· Knowledgeable in handling machinesJob Description:· Safety and Proper handling of Laboratory Machines and Equipment· All forms of Extraction and...
-
Medical Coding Director
2 weeks ago
Pasig, National Capital Region, Philippines Lennor Metier Consulting Philippines Full timeSeize the opportunity to join a global healthcare services company.Position: Medical Coding DirectorWork Engagement: Direct Employment | PermanentLocation: Pasig City, PhilippinesWork Setup: OnsiteShift Schedule: MorningSalary: Php 180,000 – Php 250,000About UsSeeking exceptional talent solutions across diverse industries? Lennor Metier Consulting, a...
-
Financial Analyst
2 weeks ago
Pasig, National Capital Region, Philippines The Medical City Full timeAt The Medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country's young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world's best when it comes to...
-
Chief Medical Technologist
2 weeks ago
Pasig, National Capital Region, Philippines Accudetek Health Diagnostics Full timeQUALIFICATIONS:· Graduate of BS Medical Technology· Licensed Medical Technologist (PRC)· At least 5 years of experience as Medical Technologists· Having a Drug analyst and/ or Biosafety certificate is an advantage· Knowledge in DOH Compliance· Knowledgeable in handling machinesJOB DESCRIPTION:· Facilitates DOH Compliance and Regulations·...
-
Client Service Associate
2 weeks ago
Pasig, National Capital Region, Philippines Aspire Global Solution Full timeAre you thrilled about delivering outstanding customer service? We're looking for a vibrant Customer Service Representative. They will join our team in Pasig - Ortigas. The role is a Client Service Associate.Your Key Responsibilities:Provide exceptional support through various channels: email, phone, and chat.Handle many concurrencies, ensuring top-notch...