Reimbursement Manager

2 weeks ago


Makati, Philippines AIA Hong Kong Full time

MediCard Phils., Inc. is one of the country's leading HMOs and the only HMO founded and run by doctors. Since its inception, the concept of service-oriented total health care has been MediCard's guiding principle. Despite the competitive landscape and tempting benefits offered by competitors, MediCard has maintained its lead by providing innovative and cost-effective health maintenance solutions without compromising quality. MediCard now boasts over half a million members and more than 54,000 accredited doctors across 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that offer hospital-level services without confinement. MediCard is currently looking for assertive, dynamic, and energetic individuals to fill the following vacancy: Reimbursement Monitoring Specialist Monitors and checks the performance of reimbursements for accurate and efficient processing of check payments to members/claimants and express payment bills. Ensures proper evaluation of medical cases. Monitors the performance of the Reimbursement section and ensures SLAs are being met. Checks and finalizes all claims with action and disapproval memos. Assists in addressing doctors' concerns regarding professional fees and participates in the reconciliation process for unpaid and underpaid claims, coordinating with the Reimbursement Medical Administrator. Attends to claimants' concerns. Handles online inquiries from external and internal clients. Reports to the AVP on the concerns of clients and the Reimbursement Section. Conducts weekly reviews of unpaid and unprocessed bills in the Reimbursement Section. Develops strategies and action plans to increase and maintain member satisfaction. Prepares reconsideration forms for all letters of appeal on denied reimbursement cases for discussion with the reconsideration committee for final review and action. Prepares quarterly ISO reports on Reimbursement, including timely payments, actions, denials, and quota reports. Performs other tasks related to the main objective. Qualifications and Guidelines: Graduate of Medicine, Allied Health Professional courses, or any Business course. At least 5 years of work experience and practice of the profession. Excellent interpersonal and organizational skills. Basic computer skills, e.g., Microsoft Office. Process management skills, people, and customer relations skills. You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date. #J-18808-Ljbffr



  • Makati, Philippines AIA Hong Kong and Macau Full time

    Reimbursement Manager page is loaded## Reimbursement Managerlocations: Makati, PH-MPItime type: Full timeposted on: Posted 30+ Days Agojob requisition id: JR-50124**MediCard Phils., Inc.** is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the...


  • Makati, Philippines Crowdsource Solutions Full time

    Qualifications: ● Bachelor’s degree in Business Administration, Healthcare Administration, or a related field. ● At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity. ● In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and...


  • Makati, Philippines Crowdsource Solutions Full time

    Qualifications: ● Bachelor’s degree in Business Administration, Healthcare Administration, or a related field. ● At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity. ● In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and...


  • Makati, Philippines Crowdsource Innovative Solutions, Inc. Full time

    Hybrid - Makati 5-10 Yrs Exp Bachelor Full-time Job Description Bachelor degree in Business Administration, Healthcare Administration, or a related field. At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity. In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry,...


  • Makati, Philippines Hummingcomm Corporation Full time

    Overview The major task of an Outsourcing Specialist is to audit and process reimbursement liquidation of Manpower Agency (Subcontractor). Responsibilities Monitor and audit reimbursement expenses and liquidation of subcontractors and ensure no over payment was made. Review invoices and Official Receipt with VAT from subcontractor and ensure computation is...

  • Accounts Payable

    2 weeks ago


    Makati, Philippines Hunter's Hub Inc. Full time

    On-site - Makati Fresh Graduate/Student Bachelor Full-time Overview The Accounts Payable Specialists – Employee Reimbursement and Cash Advance Processor ensure the timely and accurate processing of reimbursement and CA requests, attend to the daily reimbursement and CA request-related queries of employees, prepare journal entries to record the transactions...

  • Account Manager

    1 day ago


    Makati, Philippines Sysgen RPO, Inc. Full time

    Qualifications Bachelor's Degree in Business Administration, Business Management, Information Technology, or any related field. Proven experience in IT Sales, B2B Sales. Experience with cloud technology (AWS, Azure, Google Cloud) is a must. Strong understanding of the SMB (Small & Medium-sized Business) market. Excellent communication and interpersonal...


  • Makati City, National Capital Region, Philippines Electronic Transfer and Advance Processing Inc. Full time ₱2,000,000 - ₱2,500,000 per year

    Job SummaryThe Head of Business Development is responsible for driving the company's growth by identifying new market opportunities, forming strategic partnerships, and developing sustainable revenue channels. This role leads the business development team to ensure alignment with the organization's overall strategy and collaboration with cross-functional...


  • Makati, Philippines J-K Network Services Full time

    Company: This company's main branch is located in Korea and now having their very first branch here in the Philippines. Number one supplier that specialized processed foods and provide high quality products. Position: Tax Manager Company Industry: Manufacturing Company Location: Valero Street, Makati City Salary Offer: Php 60,000 - Php 70,000...

  • Accounting Manager

    2 weeks ago


    Makati, Philippines OAMPI Inc. Full time

    Job Description Oversee the end-to-end Purchase-to-Pay (P2P) process, including purchase orders (3-way matching), supplier invoices, and receiving documents, ensuring accurate and timely entry into the accounts payable system. Review and validate check vouchers, supplier invoices, employee cash advances, reimbursements, liquidations, payroll journals, and...