Medical Liaison
Pasig City, NCR, Philippines
Full Time
Entry Level
About Us
We are part of a leading HMO group with over 30 years of experience providing healthcare solutions to small and medium enterprises (SMEs) in the Philippines. By combining decades of care expertise with cutting-edge technology, we offer comprehensive and hassle-free digital health plans through an all-in-one platform. Our mission is to revolutionize access to quality, affordable healthcare for millions of Filipinos, one SME at a time.
Responsibilities
- Serve as the main point of contact for corporate accounts, ensuring proper processing of member availments under the group hospitalization program.
- Conduct hospital visits for confined clients, advising on benefits, cost-saving options, and overseeing discharge processes.
- Monitor reimbursement claims, ensuring accuracy and timely processing.
- Work closely with patients, providers, and hospitals to address documentation and service needs.
- Consult with Medical Coordinators and Network Provider Physicians for recommendations and approvals.
- Maintain strong relationships and represent the company in discussions and meetings.
Qualifications
- Nursing/Medical background is required.
- Must meet at least one of the following criteria:
- Have working experience as a Liaison or in the HMO industry; or
- Registered Nurse (Fresh graduates are welcome if they are in the top 5% of candidates based on aptitude and potential).
- Must meet at least one of the following criteria:
- Willing to work onsite in Ortigas with occasional night shifts.
- Familiar with medical indications for adjudication.
- Comfortable conducting hospital visits.
- Strong problem-solving skills and a proactive mindset.
- Excellent verbal and written communication skills.
- Collaborative, adaptable, and eager to innovate in healthcare.
Benefits & Perks
- Comprehensive health benefits and sick leaves.
- Career development opportunities and mentorship.
- Access to global tech and advisory support from renowned institutions.
Join us in transforming healthcare for SMEs across the Philippines!
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