Healthcare Operations Specialist

2 months ago


Makati City Batangas Laguna Cavite, Philippines SOURCETECH SOLUTIONS INC. Full time

About the Role

The Corporate Healthcare Services Associate provides vital support to our healthcare team, ensuring the smooth operation of our healthcare services. This exciting role involves working closely with clients and healthcare providers to resolve medical claims and optimize reimbursement processes.

Key Responsibilities:

  • Assist clients in understanding healthcare policies, claims, and medical benefits within our HMO system.
  • Coordinate with healthcare providers to resolve medical claims and ensure efficient reimbursement processes.
  • Handle inquiries about healthcare services, policy applications, renewals, and coverage options.
  • Process healthcare claims following company guidelines and government healthcare regulations.
  • Collaborate with the Underwriting team to assess health-related data for policy applications.
  • Ensure compliance with healthcare regulations and internal company standards.
  • Provide support in addressing client queries related to HMO benefits, claims, and policy documentation.

Qualifications:

  • Open to both experienced candidates and fresh graduates with a Bachelor's degree in Nursing, Pharmacy, Medical Technology, Healthcare Administration, or any related field.
  • Strong communication and organizational skills, with a customer-service mindset.
  • Willingness to learn and adapt to corporate processes in a healthcare environment.

Preferred Skills:

  • Knowledge of or willingness to learn about health insurance policies, claims processing, and medical billing.
  • Attention to detail and the ability to manage multiple tasks simultaneously.
  • Problem-solving skills, especially in handling client inquiries or issues with healthcare services.

Job Details:

  • Job Type: Full-time
  • Pay: Php18,000.00 - Php21,000.00 per month

Work Schedule:

  • 8 hour shift
  • Day shift

Additional Benefits:

  • 13th month salary
  • Overtime pay


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