
Emergency Physician
4 hours ago
Position : Preapproval Doctor
Site: Clark Pampanga, Can work from home after 6 months
Minimum Requirements:
- Applicants must be willing to work and relocate to Clark, Pampanga.
- Applicants must be a Filipino citizen or have a relevant residence status
- Medical Degree from a recognized university
- Current License to practice in the Philippines
- Experience working in a medical insurance field is preferred
- 2 years post qualification experience, preferably in Emergency Room, General Practice or Family Medicine
- Computer literate, Proficiency in the MS Office Suite of Software. (Excel/Word/Power Point)
- Proficiency in written and spoken English.
Key Responsibilities and Accountabilities:
- Action pre-approval transactions from contracted medical providers in line with agreed operating procedures and service level agreements
- Use medical training, knowledge and departmental guidelines to ensure accurate assessment of pre-approvals
- Ensure consistent application and review of treatment plans to ensure cover in line with contracted pricing
- Complete system and written administration in line with audit requirements and ensure approvals are documented in correct detail to support smooth claims administration.
- Complete activities in line with service agreements while demonstrating ability to prioritise according to medical urgency
- Ensure correct reference to policy of all communication whether verbal or in writing
- Respond to call centre phone queries/ online chat function related to coverage queries and claims in line with published protocols.
- Other tasks may be assigned
Benefits :
90-100K Salary Package
HMO Day 1
Life Insurance
2 days off per week
8hrs per shift
Free Parking
One Time Relocation Assistance
Can work from home after 6 months
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