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HDSI: Account Management Specialist

9 hours ago

Mandaluyong City, National Capital Region, Philippines ACTIVEONE HEALTH, INC. Full time

Job Overview
The Account Management Specialist serves as the primary liaison between Unilab employees and healthcare partners such as Flexicare, HealthFirst, and other medical service providers. The role ensures smooth coordination, accurate administration of employee medical benefits, and efficient resolution of healthcare-related concerns.

Duties And Responsibilities
Medical Services Coordination

  • Coordinate employee medical service requests, approvals, and availments with Flexicare, HealthFirst, and other accredited healthcare providers.
  • Ensure timely processing of medical examinations, laboratory requests, consultations, and other medical-related needs.
  • Validate employee eligibility and benefit coverage prior to service requests or provider transactions.

Benefits Administration & Support

  • Assist employees in understanding their healthcare benefits, coverage limits, dependents' inclusion, and claim procedures.
  • Monitor and maintain accurate records of employee medical benefits and service utilization.

Customer Service

  • Serve as the first point of contact for employee inquiries, concerns, or issues regarding medical services and benefit coverage.
  • Provide clear guidance to employees on requirements, processes, and documentation.

Qualifications

  • Educational Background

  • Preferably a licensed nurse (RN) or a graduate of a related allied health course (e.g., Medical Technology, Pharmacy, Public Health).

  • Training & Experience

  • At least 1 year of experience in healthcare coordination, Health Benefits Administration, occupational health, or employee benefits management is preferred.

  • Working Conditions

  • Ability to work onsite and extend beyond company operating hours when needed.

  • Others

  • Strong communication and interpersonal skills, with the ability to explain medical benefits and processes clearly.

  • High attention to detail and accuracy in processing medical service requests and documentation.
  • Strong coordination and follow-through abilities when dealing with healthcare providers and employees.
  • Proactive problem-solving skills and a customer-service-oriented mindset.
  • Proficiency in MS Office tools and familiarity with HR or health benefits systems is an advantage.

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Pursuant to the Data Privacy Act of 2012 (R.A , its Implementing Rules and Regulations, and other issuances of the National Privacy Commission, the RelianceCare Inc., OR it's subsidiary or affiliate, such as ActiveOne Health, Inc., and Health Delivery Systems, Inc. (
also doing business under the name and style of "Flexicare Benefit Solutions and Healthfirst Clinic"
),
whichever is applicable to this form
, ("It" or "the Company", for brevity) commits to protect and keep the confidentiality, integrity, and availability of all personal data provided. It will only use personal information to process job applications. Any questions regarding the Company's privacy notice shall be coursed through Its Data Protection Officer at the following and applicable email addresses: RCI - , ActiveOne - , or HDSI -

I have read and understood the above Notice and hereby give my consent to collect and process my personal data.*