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Cloudstaff Philippines, Inc jobs

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    • Clark Freeport Zone, Pampanga: Reliably commute or planning to relocate before starting work (Preferred).
    • Handles queries/concerns received from walk-in members…
    • View all PhilCare Inc. jobs - Clark Freeport Zone jobs
    • Salary Search: HMO Staff - Pampanga salaries
    • Quezon City: Reliably commute or planning to relocate before starting work (Required).
    • College graduate (Library Science, Information Management, or related…
    • Biñan City, Laguna: Reliably commute or planning to relocate before starting work (Preferred).
    • This job is responsible for the accurate implementation of…
    • Data Verification: Cross check the encoded data comparing to physical or digital source files to eliminate duplications, typos, or missing records.
    • Bachelor's Degree in IT, Computer Engineering or any related course.
    • Monitored and supported 24/7 data center operations, providing Level 1 incident response…
    • Quezon City: Reliably commute or planning to relocate before starting work (Preferred).
    • Provides and ensures that all HMO/Corporate clients of the hospital are…
    • Bachelor's Degree in Industrial Engineering, Mechanical Engineering, Electronics Engineering, Manufacturing Engineering, or any related engineering or technical…
    • At least 2–3 years in a supervisory or leadership role.
    • Experience with document management systems (DMS) or enterprise content management systems is preferred.
    • At least 2 years Vocational Graduate of any technical or Business Course.
    • The position shall perform data capture operations from an individual ID card's…
    • Experience working in an outsourcing environment or have managed large in-house payroll headcount (500 headcount).
    • Experience needed for this role.
    • Schedule board and committee meetings, arrange logistics, collate/distribute meeting papers, and draft accurate minutes.
    • At least College undergraduate or graduate is an advantage.
    • Understand customer needs, research issues thoroughly, and provide appropriate solutions or…
    • Experience in automation and scripting (PowerShell or similar).
    • Proven experience in a monitoring, automation, systems, or platform-focused IT role.
    • Experience working with healthcare providers, medical practices, MSOs, IPAs, hospitals, or insurance companies is highly preferred.
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    • Skilled in communicating remotely (via phone, teleconference, or email).
    • Please note that this is a full-time position, not a contractor role.

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Job Post Details

HMO Staff - Pampanga - job post

PhilCare Inc.
Clark Freeport Zone
PHP 18,000 - PHP 20,000 a month

Job details

Pay

  • PHP 18,000 - PHP 20,000 a month

Job type

  • Full-time

Location

Clark Freeport Zone

Full job description

Job Purpose

This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing on utilization management and the delivery of superior customer service at all times

Duties and Responsibilities

1. Customer Experience

  • Handles queries/concerns received from walk-in members and through phone and documents accordingly thru designed tracker.
  • Issues printed/soft copy of Letter of Authority (LOA) for the corresponding types of availments ( consultation/procedures)
  • Facilitates addition/cancellation of membership as endorsed by HR
  • Facilitates release of ID cards to members
  • Assists members in filing claims for reimbursement
  • Encourages members feedback thru CSAT survey and resolve complaints/concerns otherwise escalate to superior for pressing issues
  • Provides VIP assistance if deemed necessary.

2. Utilization Management

  • Approves all availments up to P50,000
  • Strictly monitors all OP availments if within member’s benefit limit

3. Report Generation

  • EOD/WFH Summary
  • Complaints Tracker
  • Availment Concern Tracker

4. Others

  • On-time submission of Daily Time Record
  • Performs other tasks as may be assigned from time to time

Job Type: Full-time

Pay: Php18,000.00 - Php20,000.00 per month

Ability to commute/relocate:

  • Clark Freeport Zone, Pampanga: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

  • What is your expected salary?
  • When is your earliest start date?
  • Are you willing to be deployed at Clark Freeport Zone Pampanga?
  • Are you amenable with Monday-Friday (10:00pm-6:00am) schedule? (Yes/No)

Education:

  • Bachelor's (Preferred)

Work Location: In person

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