Primary Care HMO Officer
2 weeks ago
For over 15 years, Asiatel Outsourcing has been at the forefront of the outsourcing industry, empowering companies worldwide to establish and efficiently manage remote teams in the vibrant Philippines. With our comprehensive range of services, including traditional outsourcing, remote staffing, and managed operations, we offer unparalleled flexibility and exceptional cost competitiveness.
At Asiatel Outsourcing, we recognize the uniqueness of each client, and that's why we tailor our solutions to perfectly align with your specific requirements. Asiatel Outsourcing stands proudly as the premier outsourcing partner in the Philippines.
Responsibilities
• Assist members through inbound/outbound calls and emails regarding HMO benefits, coverage, and approvals (Inpatient & Outpatient)
• Process, validate, and accurately document requests in compliance with company guidelines
• Coordinate with hospitals and providers to verify cases and support patient admissions
• Deliver professional, high-quality customer service in both Tagalog and English
• Work collaboratively with the team and contribute to continuous process improvements
Qualifications
• Must be a graduate of a four-year medical-allied course (strict requirement)
• Any four-year medical-allied course is acceptable for this position
• Open to fresh graduates with hospital internship experience
• Knowledgeable in medical terminology (diseases, diagnostic tests, procedures, admissible cases, etc.)
• Experience in BPO/healthcare or HMO-related accounts is an advantage
• Proficient in both Tagalog and English, written and spoken
• Background in HMO processing, approvals, or hospital admissions is a plus
• Willing to work onsite at Ortigas Center, Pasig
• Amenable to shifting schedules, including weekends and holidays.
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