Medical Benefits Specialist

4 days ago


Pasig, National Capital Region, Philippines Hive Health Full time

Job Description

The successful candidate will have previous experience in healthcare claims processing, preferably in a startup or tech-driven environment. They should also be familiar with medical coding and billing procedures.

Key Responsibilities

  • Oversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely payments.
  • Manage and oversee claims processing, ensuring all supporting documents are complete and accurate.
  • Develop and enhance reporting tools within the Hive Portal, ensuring data accuracy for hospital bills, procedures, and professional fees.
  • Collaborate cross-functionally with healthcare, finance, and product teams to ensure smooth integration of new systems and procedures.

Required Qualifications

  • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
  • Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.
  • Familiarity with medical coding and billing procedures.


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