Claims Officer (HPPI)
Pasig, Metro Manila, Philippines
Full Time
Finance
Mid Level
👋🏻 Hi! We’re HPPI, part of the Hive Health Group
About us
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
- Processing of out-patient and in-patient utilization
- Checking the completeness of supporting documents
- Encoding in the Enhanced Membership Monitoring System (EMMS) of details of utilization such as diagnosis, amount, procedure done, hospital bills, and professional fees
- Processing of members’ utilization reimbursement such as maternity assistance, ER changes, laboratory changes, professional fees, dental fees, and death assistance
- Processing of Account Receivables utilization (for special accommodation of non-members) if applicable
- Printing of utilization report summary from the EMMS for sending to the Providers (hospitals, doctors, clinics, labs)
Qualifications
- Must be willing to work onsite in Ortigas
- Education:
- Bachelor's degree in Healthcare Administration, Business, or a related field.
- Experience:
- Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.
- Familiarity with medical coding and billing procedures.
- 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
Benefits & Perks of Joining Us
- Health benefits and sick leaves
- Company laptop
- 13th month pay
- Career development and mentorship
- Access to global tech and advisory support from Harvard, Stanford, and more
Apply for this position
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