HMO Medical Benefits Associate - Medical Liaison (HPPI)

Operations Medical Medical Office

Icon salary Mức lương
$430 - 700
Icon Location Khu vực
Philippines

Tổng quan về công việc và trách nhiệm

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

Kỹ năng và kinh nghiệm tối thiểu

- 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

Tại sao ứng viên nên làm ở đây

- 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

Ưu tiên có kỹ năng và kinh nghiệm

- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous

Báo cáo cho

Team Lead

Quá trình phỏng vấn

1. Take home exam 2. HR Interview 3. Hiring Manager + Founder Interview

Joseph T

Headhunter | Recruiter
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employee 201 ứng viên
cup 42 phỏng vấn
health 13 offers

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Joseph T

Headhunter | Recruiter
Verified
Icon employee 201 ứng viên
Icon cup 42 phỏng vấn
Icon health 13 offers

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