HMO Medical Benefits Associate - Medical Liaison (HPPI)
Operations Medical Medical Office
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
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