HMO Medical Benefits Associate - Medical Liaison (HPPI)
Pasig, Metro Manila, Philippines
Full Time
Medical Operations
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
- 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
Qualifications
- Must be willing to work onsite in Ortigas
- Must be willing to do occasional night shifts
- Familiarity with medical indications for adjudication
- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
- 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
Benefits & Perks of Joining Us
- Health benefits and sick leaves
- Career development and mentorship
- Access to global tech and advisory support from Harvard, Stanford, and more
Apply for this position
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