HMO Medical Benefits Associate - Medical Liaison (HPPI)
Operations Medical Medical Office
Salary
Location
Job Overview And Responsibility
HPPI is an HMO that is part of the Hive Health Group of Companies, which is on a mission to provide the best-in-class health plans for small-medium enterprises (SMEs) in the Philippines. HPPI’s 30+ years of providing care, combined with Hive Health’s innovative tech capabilities, enables the Hive Health Group of Companies to offer comprehensive, hassle-free digital health plans through our all-in-one platform. Together, we are revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time. Responsibilities - Main point of contact for corporate accounts, ensuring proper adjudication of member availments in the group hospitalization program - Conducts visits for confined clients, informs about benefits, advises on cost-saving, and oversees discharge processes - Monitors reimbursement claims, ensuring accuracy in computations and timely processing - Works with patients and providers on hospital documentation, addressing various service needs - Consults with Medical Coordinators and Network Provider Physicians, providing recommendations for approvals - Maintains strong relationships, acts as an authorized company representative in discussions and meetings
Required Skills and Experience
- At least 2 years of relevant experience - Must be willing to work onsite in Ortigas - Must be willing to do occasional night shifts - Familiarity with medical indications for adjudication - Willingness to conduct hospital visits - Proficient problem-solving abilities - Curious, results-driven, ownership mentality with growth mindset - Excellent verbal and written communications - Collaborative team player with the ability to adapt quickly in a fast-paced environment - Passion for innovation in healthcare
Why Candidate should apply this position
- Be part of a founding team transforming healthcare in the Philippines and beyond - Comprehensive healthcare benefits (we practice what we preach!) - Hybrid work flexibility and paid time off - Career development and mentorship - Access to global tech and advisory support from Harvard, Stanford, and more - Gov't mandated benefits - 13th Month Pay - HMO - Work laptop - Vacation and Sick Leave
Preferred skills and experiences
- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
Report to
Team Lead
Interview process
1. Take home exam 2. HR Interview 3. Hiring Manager + Founder Interview
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