Patient Engagement Specialist

5 days ago

Makati City, National Capital Region, Philippines Booth and Partners Pte Ltd Full time ₱1,200,000 - ₱2,400,000 per year
Job Description
OpenLoop is looking for a Patient Engagement Specialist to join our team. This role will be a member of
the Revenue Cycle Management Team, collaborating closely with the Eligibility and Benefits Head.
Job Summary:
We are seeking a detail-oriented and knowledgeable Eligibility and Benefits Specialist to attend and
oversee the eligibility determination process for patients on multiple client programs. The specialist will
verify eligibility, assist on referral submission, and supply PHI in our billing platform. This role requires a
strong understanding of benefits programs and a commitment to delivering high-quality customer service.
Key Responsibilities:
● Review patient benefits through online portals and can outline required information if benefits are
obtained via call.
● Process and verify eligibility requirements based on program guidelines.
● Identify correct payer for Medicare and Medicaid Plans.
● Understands copay, coinsurance and deductible
● Handles inquiries and resolve issues regarding benefit eligibility
● Communicate with patients and provide explanation on the results of eligibility check and
potential cost.
● Ensure to update all RCM tools that require patient information.
● Coordinate with CMAs for any manual checks
● Can do outbound calls and emails to patients using problem solving and resolution skills
● May require referral submission.

RequirementsSkills and Qualifications:
Required:
● Strong understanding of benefits programs, eligibility criteria, and relevant regulations.
● Excellent attention to detail and organizational skills.
● Strong written and verbal communication skills.
● Proficiency in Microsoft Office Suite (Excel, Word, etc.).
● Customer service-oriented, with the ability to handle sensitive situations tactfully.
Preferred
● Prior experience in benefits administration, eligibility determination (copay, coinsurance, and
deductible), or healthcare benefits.
● Knowledge of regulatory frameworks like HIPAA (Health Insurance Portability and Accountability
Act), ACA (Affordable Care Act), or other benefits-related regulations.
● Understanding with Referral Submission.
● Experience with benefits software, CRMs and RCM Web tools (Zoho, RXNT)
● Experience with communication platform (Slack, Google Mail, Amazon Connect)
● Ability to work in a fast-paced environment with minimal supervision.

  • Patient Experience

    7 days ago

    Mandaluyong City, National Capital Region, Philippines OPAT The Antibiotic Care Specialist Full time ₱600,000 - ₱1,200,000 per year

    This role combines patient advocacy, doctor engagement, and business development support by:Guiding & supporting patients as they undergo their OPAT treatment,Serving as the main liaison between the OPAT clinic and referring doctors for effective patient care collaboration,Offering the clinic's core services to doctors and elastomeric pump solutions to...

  • Online Patient Care Specialist

    7 days ago

    Makati City, National Capital Region, Philippines One Nadela Medical Group Full time ₱250,000 - ₱350,000 per year

    Online Patient Care SpecialistJob Overview:We are seeking a dedicated Online Patient Care Specialist to handle patient inquiries, manage online bookings, and provide administrative support with initiative and professionalism. The role is vital in ensuring a smooth and efficient clinic experience for our patients while upholding excellent customer service...

  • Patient Service Specialist

    5 days ago

    Makati City, National Capital Region, Philippines Makati Medical Center Full time ₱600,000 - ₱1,200,000 per year

    The Patient Service Specialist (PSS) serves as Makati Medical Center's frontline contact in Central Registration. He/she is responsible for registration, billing, and releasing of results. He/she also handles other patient-related servicing, which include responding to inquiries, providing information and assistance, and managing complaints and feedback,...

  • Patient Care and Engagement Officer

    5 days ago

    Quezon City, National Capital Region, Philippines St. Peregrine Surgical and Cancer Center Full time ₱900,000 - ₱1,200,000 per year

    This role is responsible for managing patient scheduling, responding to inquiries from multiple channels (phone, walk-in, social media), and ensuring a positive patient experience. Additionally, the role will involve business development activities, including outreach to potential institutional partners to promote and expand the Center's services.Key...

  • Senior Licensed Nurse

    5 days ago

    Makati City, National Capital Region, Philippines Patient first Hospital Corporation Full time ₱300,000 - ₱360,000 per year

    Conduct thorough physical and functional assessments, documenting findings to guide care decisions and sharing insights with junior staff.Use advanced assessment tools and scales to ensure accurate and consistent evaluations.Collaborate with specialists for additional assessments or diagnostics as needed to support comprehensive patient care.Develop...

  • Engagement Specialist

    5 days ago

    Makati City, National Capital Region, Philippines SAVii Full time ₱900,000 - ₱1,200,000 per year

    Be Part of SAVii: Empowering Change & Transforming Lives About SAViiAt SAVii, we're on a mission to revolutionize the employee wellness landscape. Since our founding in 2017 as SAVii PH, we've been changing the way employee benefits work by providing 360° salary-linked wellness services in emerging markets like the Philippines and India. Our platform...

  • Marketing Engagement Specialist

    5 days ago

    Makati City, National Capital Region, Philippines Savii Full time ₱900,000 - ₱1,200,000 per year

    Be Part of SAVii: Empowering Change & Transforming LivesAbout SAViiAt SAVii, we're on a mission to revolutionize the employee wellness landscape. Since our founding in 2017 as SAVii PH, we've been changing the way employee benefits work by providing 360° salary-linked wellness services in emerging markets like the Philippines and India. Our platform...

  • Marketing Engagement Specialist

    5 days ago

    Makati City, National Capital Region, Philippines Savii PH by New Cross Credit and Financing Gate PH, Inc. Full time ₱360,000 - ₱420,000 per year

    Be Part of SAVii: Empowering Change & Transforming LivesAbout SAViiAt SAVii, we're on a mission to revolutionize the employee wellness landscape. Since our founding in 2017 as SAVii PH, we've been changing the way employee benefits work by providing 360° salary-linked wellness services in emerging markets like the Philippines and India. Our platform...

  • Patient Experience Supervisor

    1 week ago

    Mandaluyong City, National Capital Region, Philippines RELIANCECARE INC. Full time ₱2,000,000 - ₱2,500,000 per year

    The Patient Experience Supervisor oversees Williams Center and HealthFirst Clinic Branches Operations and Patient Experience to ensure the highest level of non-clinical and Clinical service delivery.Take charge and manage the efficiency of non-clinical service delivery throughout the Williams Center Multispecialty and HealthFirst Clinic Branches. This...

  • Marketing & Community Engagement Specialist

    2 weeks ago

    Makati City, National Capital Region, Philippines Cartrack Full time ₱900,000 - ₱1,200,000 per year

    About CartrackCartrack is a leading global telematics and mobility solutions provider, trusted by businesses across Asia and beyond to transform how fleets, drivers, and communities connect. With innovation at its core, Cartrack empowers organizations to achieve efficiency, safety, and growth through data-driven technology and a strong focus on client...