Healthcare Operations Coordinator

1 week ago


Manila, National Capital Region, Philippines Forticare Health Systems International, Inc. Full time
Job Description

The Medical Underwriting Analyst will work closely with the Medical Director & Underwriting Officer to evaluate, manage, and analyze health accounts. This role requires the ability to develop and adapt new policies and regulations to enhance underwriting and procedural processes.

Main Responsibilities
  1. Primary Duties:
  2. Evaluate and review claims for reimbursement of healthcare accounts
  3. Approve and evaluate members' utilization of healthcare benefits
  4. Develop and adapt new policies and regulations to enhance underwriting and procedural processes
Qualifications
  • 3+ years of post-graduation clinical medical experience
  • Healthcare managed experience is a plus
  • Duly licensed Physician
  • Full current registration to practice medicine in the Philippines


  • Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    We are looking for a skilled and detail-oriented individual to join our team at Access Healthcare Services Manila, Inc. as a Healthcare Operations Specialist.About the Role:This role involves reviewing and processing prior authorization requests from healthcare providers, ensuring compliance with payer requirements, and maintaining accurate documentation of...


  • Manila, National Capital Region, Philippines Halcyon Marine Healthcare Systems, Inc. Full time

    Halcyon Marine Healthcare Systems, Inc. is a dynamic organization that requires a dedicated Healthcare Services Coordinator. As a key member of our team, you will be responsible for coordinating and implementing activities, projects, and programs within the organization.The successful candidate will perform various tasks, including creating procedures and...


  • Manila, National Capital Region, Philippines ADEC INNOVATIONS HEALTHCARE, INC Full time

    Job DescriptionWe are seeking an experienced Healthcare Operations Supervisor to join our team at ADEC Innovations Healthcare, Inc.In this role, you will be responsible for supervising a team of operations professionals, providing coaching and guidance, and driving continuous improvement. You will also be responsible for generating regular performance...


  • Manila, National Capital Region, Philippines Med-Metrix Full time

    Job SummaryWe are seeking a highly motivated Healthcare Operations Coordinator to join our team at Med-Metrix. As a Healthcare Operations Coordinator, you will play a key role in supporting quality auditing, analysis, and reporting.Identify areas for process improvement and develop solutions.Collaborate with the Operations Team to implement...


  • Manila, National Capital Region, Philippines MedSide Healthcare Full time

    Primary Job DutiesThe Account Manager at MedSide Healthcare will serve as the primary point of contact for assigned accounts, which includes organizations, branches, or departments referring patients to home healthcare services.This position involves managing incoming referrals, ensuring seamless communication with patients and accounts, and overseeing...


  • Manila, National Capital Region, Philippines MedSide Healthcare Full time

    Job Role SummaryThe Account Manager at MedSide Healthcare plays a crucial role in serving as the primary point of contact for assigned accounts, which includes organizations, branches, or departments referring patients to home healthcare services.This position requires strong organizational and communication skills, as well as the ability to manage multiple...


  • Manila, National Capital Region, Philippines MedSide Healthcare Full time

    Job OverviewThe Account Manager at MedSide Healthcare serves as the primary point of contact for assigned accounts, including organizations, branches, or departments referring patients to home healthcare services.This role is responsible for managing incoming referrals, ensuring seamless communication with patients and accounts, and overseeing...


  • Manila, National Capital Region, Philippines ENGINEERINGUK Full time

    Job SummaryWe are looking for a highly skilled Healthcare Financial Operations Coordinator to join our team in Manila. As a key member of our Global Finance Operations Services team, you will be responsible for managing healthcare receivables operations, including collections, cash application, account reconciliations and denials management.Key...


  • Manila, National Capital Region, Philippines EG HEALTHCARE, INC. Full time

    About EG Healthcare, Inc.EG Healthcare, Inc. is a subsidiary of Excelsior Healthcare Group of Taiwan, a publicly listed company and the market leader in providing dialysis services in Taiwan.We currently manage over 100 dialysis centers across Asia, serving more than 5,500 patients and operating over 1,500 dialysis machines.Our commitment to excellence and...


  • Manila, National Capital Region, Philippines ATC Healthcare International Corp. Full time

    Job Summary: ATC Healthcare International Corp. seeks a detail-oriented and organized Business Operations Coordinator to support the Finance department with various accounting tasks. Main Responsibilities:Process and issue accurate invoices to customers based on contracts or orders.Verify billing information and terms, including pricing, taxes, and payment...

  • Healthcare Account

    3 weeks ago


    Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

    Access Healthcare is looking for motivated and detail-oriented individuals to join our Healthcare Prior Authorization team.Key Responsibilities:Review and process prior authorization requests from healthcare providers.Verify patient insurance coverage and ensure compliance with payer requirements.Coordinate with healthcare providers, insurance companies, and...


  • Manila, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time

    Job Description:Omega Healthcare Management Services Inc. is seeking a skilled Healthcare Operations Manager to oversee the daily operations of our nursing team. As a key member of our leadership team, you will be responsible for monitoring activities, providing on-the-job training, and ensuring compliance with company policies and procedures.Key...


  • Manila, National Capital Region, Philippines access healthcare Full time

    As a Healthcare Accounts Receivable Representative at Access Healthcare, you'll play a vital role in ensuring timely and accurate processing of patient billing and accounts receivable. Your primary responsibility will be handling inbound calls related to these topics.To excel in this position, you'll need strong English communication skills and experience...


  • Manila, National Capital Region, Philippines ESR Healthcare Full time

    We are ESR Healthcare, a leading provider of innovative healthcare solutions. We are seeking a skilled and experienced Financial Services Integration Manager to join our team in Manila.About the Job OverviewThe Integration Analyst will be responsible for working directly with clients and internal business partners to lead the implementation of the Solutions...


  • Manila, National Capital Region, Philippines Makati Medical Center Full time

    We are seeking a Healthcare Inventory Coordinator to join our team at Makati Medical Center. As a key member of our supply chain team, this individual will be responsible for coordinating the receipt, storage, and issuance of medical supplies and equipment.The ideal candidate will have a strong attention to detail, excellent organizational skills, and the...


  • Manila, National Capital Region, Philippines Borough Medical Care Institute Inc. Full time

    About the RoleBorough Medical Care Institute Inc. is a leading healthcare provider in the Philippines, dedicated to delivering high-quality, patient-centric care. We are seeking an experienced Healthcare Operations Manager to oversee the day-to-day operations of our healthcare organization.Job Description:Develop and Implement Operational Strategies: To...


  • Manila, National Capital Region, Philippines Zydus Healthcare Philippines Full time

    About Us">Zydus Healthcare Philippines is a leading pharmaceutical company dedicated to improving healthcare outcomes through innovative products and services.">Job Summary">We are seeking a highly motivated Professional Medical Representative to join our team. The ideal candidate will be responsible for sales operations in a designated area, including...


  • Manila, National Capital Region, Philippines VXI Global Holdings B.V. (Philippines) Full time

    Job Description:OverviewVXI Global Holdings B.V. (Philippines) is seeking a highly skilled Healthcare Services Coordinator to join our team. The successful candidate will be responsible for coordinating healthcare services to our employees.Key Responsibilities:Healthcare Coordination:Coordinating healthcare services for our employees, including scheduling...


  • Manila, National Capital Region, Philippines Suitestudio Operations Inc Full time

    Suitestudio Operations Inc is a dynamic retail company seeking a highly skilled Support Operations Coordinator to join our team in Ortigas Center, NCR.Job Summary:We are looking for a candidate who can work full-time, Monday to Friday, with flexible hours during the morning and afternoon.At least 1 year of experience in a relevant role is required for this...


  • Manila, National Capital Region, Philippines Halcyon Marine Healthcare Systems, Inc. Full time

    We are seeking a highly skilled Organization Operations Manager to join our team at Halcyon Marine Healthcare Systems, Inc. This is an excellent opportunity for individuals who enjoy administrative work and want to make a meaningful impact in the healthcare industry.The successful candidate will be responsible for performing various tasks related to project...