4 Healthcare Administration jobs in the Philippines

Position: Project Management & Implementation Specialist

Employment Set Up: 100% WFH / Remote

Initial Contract: 6 months with Potential to Convert to Full Time role

Start Date: ASAP

Shift Schedule: GY Shift (EST Time Zone)

About the Role & the Team

The Business Operations & Analytics team helps the company monitor performance, understand key business drivers, and make data-driven decisions to optimize operations and accelerate growth. In addition, the Project Management & Implementation specialist, works directly with individual departments to coordinate efforts improving existing workflows, expanding the leverage of technology and evolving our products. The Project Management & Implementation Specialist will lead organizing, evaluating, planning, and implementing, improvements to existing operational process designs and Net new initiatives across multiple departments.

Key Responsibilities

• Lead & support process planning and improvement initiatives across multiple business divisions in support of strategic and operational efficiency efforts
• Process Improvement & Project Implementation support includes root cause and gap analysis, design/scoping, business modeling, cross-functional alignment, documentation, implementation project management, and performance monitoring to ensure that people/process/technical solutions align with strategic initiatives
• Ensure the timely delivery of project results that meet or exceed agreed-upon metrics or goals
• Experience in change management, stakeholder management, and influencing people without authority
• Facilitate and support business case development process to identify and quantify the impact of changes on various functions and processes throughout the company to achieve business objectives
• Create and maintain strong working relationships across the Company to foster awareness of operational efficiency efforts and the impact of process design and improvement projects
• Assist with and assess processes against compliance and quality standards

Minimum Qualifications:

• 3-5 years of experience in healthcare project management, new initiative implementation and/or integrations of acquisitions; including process documentation, project planning & management, cross-functional alignment, and metrics tracking
• Knowledge and understanding of Business Process Engineering standards/protocols
• Strong Leadership skills
• Mastery of Google Suite, Microsoft Office, etc. (especially PowerPoint/Slides and Excel/Sheets)
• Strong interpersonal and written/ oral communication skills, with the ability to communicate effectively across functions and levels of management
• Strong attention to detail and organization skills
• Action-oriented and entrepreneurial mindset

Must-Haves (Non-Negotiables)

• Minimum 3 years of healthcare experience
• Must work Eastern Time hours
• Clear English communication with minimal accent issues (client-facing role)
• Strong soft skills: proactive, independent, and able to take ownership of tasks (e.g., scheduling meetings, leading agendas, preparing presentations)
• Immediate availability for onboarding

Nice-to-Haves

• Medicaid experience (highly valued but not required)
• Strong presentation skills and ability to prepare materials daily

Preferred Qualifications:

• Healthcare experience (Healthcare services, Health system or Large ambulatory groups)
• Lean Six Sigma certification (e.g., yellow belt, green belt, black belt, master black belt, or other)
• Operating or analytics experience at a high-growth company
• Proficient in BI reporting tools (Tableau, Looker, or PowerBI)
• Domain knowledge or expertise in Medicaid is a huge plus

Hiring: Virtual Assistant US Healthcare Accounts Receivable / Claims Management Specialist
Remote | Full-time / Part-time

Vital Virtuals Global HR Solutions is looking for a
Virtual Assistant
with at least
1 year of experience in Medical Billing and US Healthcare Accounts Receivable & Claims Management
.

Responsibilities:

• Follow up on outstanding claims
• Handle denials, appeals, and resubmissions
• Manage collections & patient balances
• Maintain AR reports & update claim statuses

Qualifications:

• 1+ year AR/claims experience
• Knowledge of billing, denials & collections
• Familiar with EMR/EHR systems (preferred)
• Organized, detail-oriented, strong communicator

Compensation & Benefits:

• $5/hr (first 90 days), $6/hr after
• HMO after 6 months
• Remote, flexible, career growth opportunities

Tools: Time Doctor, Virtual Desktop (Zoom for communication)

Job Qualifications:

• Completed at least 2 years of college.
• Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.
• Familiarity with UB Claims and UB04 forms.
• Experience in medical billing/AR collections.
• Background in calling insurance (Payer) for claim status and payment disputes.
• Familiar with EPIC SYSTEM.
• Willing to work on-site in Taguig.
• Experience in a BPO Healthcare Account is required.

Primary Responsibilities:

• Read contracts for payment disputes.
• Work on the provider side.
• Verify claim status and collect unpaid claims from insurance.
• Process claims payments, manage denials, and track claim statuses.
• Manage collections for healthcare unpaid claims.
• Interact with customers to ensure invoice accuracy and resolve claims discrepancies.
• Provide input on policies, systems, methods, and procedures for premium collection management.
• Educate customers on online applications for claims and payments.
• Monitor outstanding balances and ensure clients pay as billed.
• Prepare invoices and reconcile billing with accounts receivables.
• Conduct quality assurance and audits of collection activities.
• Handle documents, emails, and calls related to account processes.
• Perform accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital processes.

Your role is critical in providing confidence in the exceptional care we offer to our members, families, facilities, and health professionals. This is an everyday opportunity to do your life's best work.

WHAT WE OFFER

• Market Competitive Pay Levels
• Fast Processing No Exam Hiring
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together