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Metro North Medical Center Hospital, Inc jobs

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    • Assist members with enrollment updates, membership additions or cancellations, and ID card release.
    • Clark Freeport Zone, Pampanga: Reliably commute or planning…
    • View all PhilCare Inc. jobs - Clark Freeport Zone jobs
    • Salary Search: HMO Staff (Pampanga) salaries
    • Experience training physicians or other healthcare providers.
    • Experience developing provider education materials, clinical workflows, or documentation tools.
    • To segregate medical results/records according to company or by referral.
    • To prepare and encode medical results on the Clinic Information System.
    • At least 1 year of experience (home health care or hospice).
    • Familiarity in navigating electronic medical records is a plus, but not required.
    • This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing on utilization management and the delivery of…
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    • Minimum of 1 year experience in home health medical coding.
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    • Review medical documentation to identify the correct diagnostic and procedural codes.
    • Minimum of one (1) year experience in inpatient medical coding.
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    • V Builds and maintains positive working relationships with medical staff and supporting administrative staff such as the receptionist, doctor’s wife, or…
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    • Experience in hospital or dialysis center setting is an advantage.
    • Graduate of any business, healthcare, or allied course.
    • Job Types: Full-time, Permanent.
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    • With driver’s license is a plus (SP, non-prof or Prof).
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    • ICT-10: 1 year (Required).
    • Cebu City, Cebu: Reliably commute or planning to relocate before starting work (Preferred).
    • This job is responsible for the accurate implementation of Member's…

Job Post Details

HMO Staff (Pampanga) - job post

PhilCare Inc.
Clark Freeport Zone

Job details

Job type

  • Full-time

Location

Clark Freeport Zone

Full job description

Be the Difference in Every Member's Healthcare Journey!

Do you enjoy helping people and delivering exceptional customer service? Join our team as a Client Success Advocate / HMO Staff and become the trusted partner of our HMO members. In this role, you'll guide members through their healthcare benefits, provide timely support, and ensure every interaction delivers a positive and seamless customer experience.

If you're passionate about helping people and want to build a rewarding career in the healthcare industry, we'd love to have you on our team!

What You'll Do

  • Deliver exceptional customer service by assisting members through walk-ins, phone calls, and other communication channels.
  • Answer inquiries regarding HMO benefits, coverage, availment procedures, and member concerns.
  • Process and issue Letters of Authority (LOAs) for consultations, diagnostic procedures, and other approved healthcare services.
  • Assist members with enrollment updates, membership additions or cancellations, and ID card release.
  • Guide members through the reimbursement claims process and ensure all documentary requirements are complete.
  • Resolve member concerns promptly and escalate complex cases when necessary.
  • Provide personalized assistance to VIP members and help create a world-class client experience.
  • Review and approve eligible outpatient healthcare availments within authorized approval limits.
  • Monitor healthcare benefit utilization to ensure compliance with company policies.
  • Prepare operational reports and maintain accurate service records.
  • Perform other duties that support excellent client service and operational efficiency.

Who We're Looking For

✔ Bachelor's degree in any field (Medical Allied courses are an advantage).
✔ Experience in customer service, healthcare, HMO, insurance, hospitality, or a related industry is an advantage—but not required.
Fresh graduates are highly encouraged to apply!
✔ Excellent communication, problem-solving, and interpersonal skills.
✔ Passionate about delivering outstanding customer experiences.
✔ Detail-oriented, organized, and able to thrive in a fast-paced environment.
✔ Proficient in Microsoft Office applications and willing to learn new systems.

Why Join Us?

  • Opportunities for career growth and continuous learning
  • Supportive, collaborative, and people-first work culture
  • Make a real impact by helping members access the healthcare they need
  • Comprehensive training to set you up for success

Ready to make every client interaction count? Join us as a Client Success Advocate and help deliver healthcare with care. Apply today!

Job Type: Full-time

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 monthly salary?
  • When is your earliest availability to start working?
  • Are you amenable with Monday-Friday (10:00pm-6:00am) schedule?

Education:

  • Bachelor's (Preferred)

Work Location: In person

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