Claims Processor

Overview

Multiple healthcare customer service and patient care roles in Taguig/Metro Manila areas, across various employers. Roles include Claims Processor, Patient Care Administrator, Patient Care Specialist, Patient Care Coordinator, and Patient Care Navigator. All postings include on-site requirements and focus on patient access, navigation, outcomes, data handling, and excellent customer service in English and Filipino where applicable. This description preserves core responsibilities and qualifications as provided.

Patient Care Specialist – Local Tagalog HMO Account (Example)

Posted today

Job Description

Qualifications and responsibilities vary by posting but commonly include:

• Graduate of a four-year medical-allied course (non-negotiable in some postings) or related degrees; fresh graduates welcome for certain roles.
• Experience in customer service or BPO related to healthcare/HMO accounts preferred.
• Strong communication in Tagalog and English (written & spoken).
• Willing to work onsite in Ortigas Center, Pasig or other designated locations.
• Knowledge of HMO processing/approvals and hospital admissions is an advantage.

Key Responsibilities (illustrative core tasks across postings):

• Assist members with inbound/outbound calls and emails regarding HMO benefits, coverage, and approvals (Inpatient & Outpatient).
• Process and validate requests with accurate documentation and compliance.
• Coordinate with hospitals/providers to verify cases and support admissions.
• Maintain professionalism and deliver high-quality customer service in multiple languages as required.
• Collaborate with team and support process improvements.

Minimum Qualifications (illustrative)

• Educational background aligned to role (Bachelor’s or related medical allied field).
• Experience in customer service; familiarity with medical terminology preferred.
• On-site work requirement in designated location (e.g., Ortigas/Pasig, Makati, Taguig).
• Willingness to work shifts as needed.

Patient Care Administrator

Examples of responsibilities and requirements seen across postings:

• Book appointments, update patient records, liaise with referrers, ensure data accuracy.
• Data entry, verify insurance information, obtain authorizations, and manage administrative tasks.
• Maintain confidentiality and comply with data protection and healthcare standards.
• Team collaboration and reporting to supervisors; on-call or shift-work may be required.
• Benefits often include health insurance, paid training, and potential for growth.

Patient Care Coordinator

Examples of responsibilities and requirements seen across postings:

• Coordinate patient appointments and communications, manage patient records, and assist with reception duties.
• Coordinate with various teams to ensure patient satisfaction and timely care.
• Support data entry, scheduling, and life-cycle management of patient services.
• Excellent communication, data handling, and organizational abilities; on-site requirements vary by posting (e.g., Makati, Taguig).

Patient Care Navigator / Health Ambassador (International SOS style postings)

Posted today

Overview:

• Oversee medical care and logistics for clients across events, acting as liaison between patients, facilities, and assistance centers.
• Ensure patient safety, confidentiality, and high-level customer service; on-call 24/7 as required.

Key Responsibilities:

• Primary contact for medical, health, and well-being needs; facilitate hospital registrations and medical translations when needed.
• Coordinate with assistance centers, arrange appointments, hospital visits, and documentation.
• Provide ongoing updates on patient conditions and treatment plans; advocate for patient needs.
• Adhere to SOPs, confidentiality, and report dissatisfaction or issues promptly.

Qualifications & Experience:

• 3+ years in translation, customer service, or medical advocacy; bachelor’s degree in a relevant field preferred.
• On-call availability; experience with international clients preferred.
• Fluency in English and Tagalog; familiarity with the designated medical facility.
• Willingness to travel within Metro Manila; on-site work in designated location.

Patient Care Navigator – Summary of Common Themes Across Roles

Common expectations across postings:

• Strong customer service and interpersonal skills; ability to communicate clearly with patients and families.
• Accurate data handling, records maintenance, and familiarity with healthcare terminology.
• Ability to work collaboratively with clinical teams and external providers; flexibility to work shifts and weekends as required.
• Confidentiality and compliance with data protection and healthcare regulations.
• On-site requirements in locations such as Taguig, Makati, Pasig, Bonifacio Global City, Ortigas.

Notes

The original postings include a range of roles with overlapping duties in patient navigation, admin support, and coordinator/advocate responsibilities. This refinement consolidates and clarifies the core responsibilities and qualifications while preserving the intent and content of the provided text. Some postings referenced location-specific requirements and salary ranges; those are noted where applicable.

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