476 Healthcare jobs in Bacoor

DE029835 - Health Clinical Services Senior Manager

Taguig, National Capital Region ₱1500000 - ₱2500000 Y Accenture in the Philippines

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Job Description

  • ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Senior Manager WORK SETUP: RTO Responsibilities:
  • Oversees staff whose teams' primary duties may include, but are not limited to:
  • Conducts pre-service, concurrent, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
  • Service requests may be from inbound calls and facsimile.
  • Outbound calls to the provider may be required to gather additional information that may be needed.
  • Other staff responsibilities may be review and analysis of post service claims utilizing the member's benefit contract and health plan guidelines.
  • Completes review of pended claims post service for either Medical Necessity or Contractual Reviews. OTHERS: Project Shift Schedule: Night Shift Project Rest Day: Weekends Project/Team Location: Taguig Uptown Bonifacio Tower 3
    SKILL AND QUALIFICATIONS:

  • At least 12 years relevant experience and 10 years supervisory

  • Holds current and unrestricted US Registered Nurse license. No state specific RN licensure required.
  • BPO experience should be any account (Health account experience is only a plus, but not required)
  • Work Background/Experience in General: Must be open to BPO & Non-BPO Experience
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CSR for Healthcare Account

Makati City, National Capital Region ₱250000 - ₱500000 Y ISTA Solutions, Inc.

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Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you

Client specific toles and responsibilities:

  • Provides customer support through different communication channels (Phone, email, chat).
  • Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
  • Collaborate with colleagues and different departments to resolve complex issues
  • Maintain accurate records on customer interactions, transaction, feedback, etc.
Requirements
  • At least 6 months BPO experience handling a Healthcare Account
  • Familiar with US Healthcare Insurance
  • Knowledge with Claims, Benefits, Denials is an Advantage
  • Good verbal & written English skills
  • Ability to display empathy and patience in addressing customer concerns
  • Strong problem-solving skills
  • Adaptability to a changing work environment
  • Ability to remain calm under pressure
  • Proficiency in using computer systems & relevant software
  • Willing to work onsite in Buendia, Makati or Shaw Blvd, Mandaluyong
  • Amenable working night shift
Benefits

What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives
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Manager - Healthcare account

Taguig, National Capital Region ₱1200000 - ₱3600000 Y eData Services Philippines Inc.

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Job Description

  • Delegates, monitor and evaluate jobs
  • Monitors the capacity of the department
  • Attend to customer concerns and requests, and ensures client satisfaction
  • Finds new methods, techniques and procedures to streamline existing processes and procedures in an effort to continually exceed customer requirements.
  • Monitors operational statistics and reporting trends, including reports, production statistics, volume projections, and takes appropriate action to ensure customer needs are satisfied and growth targets are met.
  • Promotes individual and group development, team member engagement and maintains a work environment that promotes positive communication.
  • Responsible for resolving complex problems or inquiries, ensuring overall compliance with government regulations and company policies.

Qualifications:

  • Graduate of any health allied course(Nursing, Medicine, Pharmacy, Nutrition, Psychology, Physical Therapy, etc.)
  • With at least 2-4 years experience in a BPO handling Healthcare account
  • Computer savvy, comfortable in a technology-enabled work environment.
  • Demonstrated ability to investigate and solve complex problems.
  • Excellent communication and diplomacy skills to work cross-functionally to influence others, drive results/change, and implement projects/processes.
  • Very customer-oriented with the ability to create and deliver exceptional customer experiences.
  • Should be amenable to work on graveyard shift, on-site at our office in Fort Bonifacio Taguig
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Patient Service Representative

Taguig, National Capital Region ₱30000 - ₱50000 Y Amigas of Laguna Inc.

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Job Description

Job Qualifications:

  • Graduate of any Bachelor's Degree
  • Excellent communication skills both oral and written
  • Experience in customer service is an advantage
  • Keen to details, organized, versatile, and can work under pressure with minimal supervision

Job Responsibilities:

  • Handles phone and walk-in inquiries
  • Keeps and maintains inquiry data or statistics
  • Set patients appointments and conducts follow-ups
  • Manages the laboratory directory database
  • Coordinates with different departments

Job Types: Full-time, Permanent

Work Location: In person

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Healthcare Costumer Service

Taguig, National Capital Region ₱1440000 - ₱2016000 Y Systemantech, Inc

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Job Description

Job Duties and Responsibilities:

  • Contact insurance companies to verify coverage status of patient benefits.
  • Files pre-authorizations for patients with insurance companies and provide follow up as needed.
  • Process supply orders.
  • Maintains accurate patient information in relevant client data management systems.
  • Provides patients with information regarding their order status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting payments for co-pays for supply orders, if applicable.
  • Gathers all necessary additional medical records as requested by insurance companies.
  • Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments.

Job Requirements:

Education:

  • Completed at least 2 years in College or with an Associate or Bachelor's Degree.

Work experience required:

  • Prior medical insurance authorization experience preferred.
  • One to two years data processing experience preferred.
  • One to two years customer service or provider relations experience preferred.
  • Associate degree or equivalent with a minimum of three years relevant working experience.

Technical/Functional skills:

  • Basic Excel, Word and Outlook experience required.
  • Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function.
  • Strong Computer/Software Skills.

Behavioral Preferences/Soft Skills:

  • Position requires heavy telephone contact with program providers and participants (up to 90%).
  • Excellent interpersonal and phone etiquette skills.
  • Ability to provide superior customer service and meet customer satisfaction expectations.
  • Detail & Team Oriented
  • Communication & Writing Skills
  • Organization/Time Management Skills
  • Human Relation Skills
  • Excellent oral and written communication skills.
  • Detail oriented with a focus on exceptional customer service.
  • Excellent PC skills and organizational skills.
  • Performs other related duties as assigned.

Job Type: Full-time

Pay: Php28,000.00 per month

Benefits:

  • Company Christmas gift
  • Company events
  • Health insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee

Ability to commute/relocate:

  • Taguig: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • US Healthcare Support: 1 year (Required)

Language:

  • English (Required)

Work Location: In person

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Healthcare Operations Director

Taguig, National Capital Region ₱1500000 - ₱2500000 Y confidential

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Job Description

Exciting times for a US healthcare company that recently set up a global capability center in BGC Taguig as they build their clinical operations group.

  • Bachelor's degree in Healthcare, or another related area
  • Healthcare Experience from a HIMAP member company
  • At least 7 years' experience in a management / leadership role overseeing healthcare teams
  • Experience managing teams in a shared service center environment, with proven experience in training, coaching, and developing key resources
  • Healthcare certification (preferred)
  • Workday Software and Reporting tools experience (preferred)

Others

  • Able to do a flexible shift
  • Full onsite
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Professional Hospital Representative

Taguig, National Capital Region ₱104000 - ₱130878 Y B. Braun Group

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Job Description

Are you passionate about
Professional Hospital Representative
and its' processes? If so, this opportunity could be for you Join us at B. Braun, a leader in the medical devices industry, where your skills and experience will be recognized and celebrated. Take the next step in your career with us and help shape the future of healthcare

As a
Professional Hospital Representative
at B. Braun you will play a vital role focuses on building strong relationships with hospitals, clinics, and medical professionals to unlock new sales opportunities and drive revenue growth.

Your key responsibilities:

  • Drive healthcare sales growth by building strong relationships with hospitals, clinics, and medical professionals, while consistently exceeding targets.
  • Leverage deep customer insights to identify key prospects, understand client pain points, and maintain a precise, up-to-date CRM database.
  • Deliver impactful presentations and product demos tailored to healthcare clients, communicating clearly across multiple channels.
  • Collaborate cross-functionally to align sales strategies, share knowledge, and ensure seamless execution across teams.
  • Negotiate smart deals that balance client needs with profitability, while staying disciplined, goal-oriented, and performance-driven.
  • Stay ahead of industry trends, embrace innovation, and proactively refine sales strategies to meet evolving market demands.

What you will bring to the team:

  • A bachelor's degree in Business, Marketing, Life Sciences, or a related field sets the stage for success.
  • Minimum 2 years of healthcare or pharmaceutical sales experience with a strong track record of exceeding targets.
  • Deep understanding of healthcare systems, regulations, and the ability to build lasting relationships with medical professionals.
  • Exceptional interpersonal and communication skills to engage stakeholders and drive impactful conversations.
  • Analytical thinker with CRM software proficiency and other sales tools, ready to spot opportunities, solve problems, and travel as needed to close deals.

What sets B. Braun apart?
B. Braun is dedicated to protecting and improving global health. Established in the Philippines in 1985, it leverages over 185 years of innovation from its parent company, B. Braun Melsungen AG, which operates in 64+ countries. Initially focused on sutures and disposables, B. Braun Philippines has grown over 39 years to employ more than 800 sales and service professionals.

We now offer advanced dialysis treatments and a broad range of healthcare solutions, including infusion devices, surgical instruments, sutures, regional anaesthesia, haemodialysis machines, disposables, value-added drugs, and clinical nutrition, delivering comprehensive patient care across the country.

What can we offer you?

  • Group Term life Insurance
  • Medical and Optical Reimbursement
  • Maternity assistance
  • Training and development programs
  • Engage in fun activities and team building events

What's next?
Once you click on the link to Apply, you will be directed to update your personal information and submit your CV. Our Talent Acquisition team will carefully review your application, and if you pass the CV screening you will be invited for the first interview. We ask you to conduct two interviews, one in person and one remotely. If you stand out and meet our requirements, we will present you with an offer and guide you through our seamless onboarding process. Join us and be part of something extraordinary

We appreciate different perspectives, thoughts, experiences and backgrounds. By strengthening an appreciative, inclusive, respectful and equal working environment, we create a culture in which all our employees feel free to be who they are.

To find out more about our commitment to diversity click here

Check us out on Social Media
B. Braun Group LinkedIn

B. Braun Group YouTube

To find out more about B. Braun Philippines here

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Healthcare Credentialing Specialist

Makati City, National Capital Region ₱120000 - ₱180000 Y PENBROTHERS

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Job Description

About Penbrothers

Penbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.

About the Client

Our client is a fast-growing healthcare staffing agency dedicated to rehumanizing healthcare by improving the patient experience through strong, trusted partnerships with healthcare facilities and clinicians. Their innovative, people-first approach sets them apart, and they are seeking driven individuals to join their team and make a meaningful impact on the lives of clinicians and patients.

About the Role

We are seeking a highly organized and detail-oriented Healthcare Credentialing Specialist to support the credentialing and onboarding processes of our clinical professionals. This role is critical in ensuring all required documentation is accurately verified and maintained in accordance with internal policies, client standards, and regulatory requirements. The Compliance Specialist will collaborate with various internal teams and act as the primary liaison for clinicians regarding compliance matters, helping to ensure a smooth and timely onboarding experience.

What you'll do

  • Serve as the primary liaison for clinicians during the onboarding and credentialing process, providing guidance and support on all compliance-related requirements.
  • Review, verify, and track all clinician credentials, including state licensure, certifications, immunizations, TB tests, physicals, titers, and medical records.
  • Monitor expiring credentials and proactively manage renewal timelines to prevent interruptions in assignment or facility compliance.
  • Collaborate closely with recruitment, sales, and client teams to ensure all clinicians meet internal and external compliance standards prior to start dates.
  • Conduct file audits to ensure accuracy and alignment with Joint Commission requirements and internal quality standards.
  • Respond promptly and professionally to internal and external compliance inquiries, resolving documentation issues with urgency and care.
  • Maintain accurate and organized electronic compliance records across multiple clinician files simultaneously, prioritizing tasks in a fast-paced environment.
  • Participate in continuous improvement initiatives to streamline onboarding workflows and enhance the clinician experience.

What You Bring

  • High school diploma or GED required; Associate's or Bachelor's degree in Business, Healthcare Administration, or a related field preferred.
  • At least 3-4 years of relevant experience in compliance, credentialing, or administrative support, ideally within a healthcare setting.
  • Strong understanding of healthcare credentialing processes and Joint Commission standards is a plus.
  • Exceptional organizational skills, attention to detail, and the ability to prioritize competing deadlines.
  • Clear and confident communication skills, with a focus on professionalism and empathy.
  • Comfortable working independently and collaboratively in a fast-paced, high-volume environment.
  • Proficiency in Microsoft Office and ability to quickly learn new software platforms.

Hiring Process

We utilize AI tools to enhance our hiring efficiency and ensure a fair evaluation of all candidates. As a result, candidates who passed our initial evaluations should expect an AI Interviewer as a component of our recruitment process. This is supervised by Human Talent Acquisition Experts who will also engage with you throughout your application journey.

What You'll Get

At Penbrothers, we are obsessed with creating positive employee experiences. Here you'll find an environment that nurtures learning and provides opportunities for growth. You'll have the opportunity to make an impact on fast-growing startups and dynamic companies.

  • Meaningful work & Growth: We take every opportunity to stretch ourselves and deliver an excellent client experience.
  • Employee as our biggest asset: We are genuinely invested in our people's career and welfare.
  • Global reach & local impact: Get to work with high-growth startups and dynamic companies from the comfort of your own home.
  • Powering global startups: We've created 1,400 Filipino jobs that empower global start-ups to focus on growth.
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Medical Billing Specialist

Makati City, National Capital Region ₱70000 - ₱120000 Y ISTA Solutions

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Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced
Medical Billing Specialist
to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you

Account specific roles & responsibilities:

  • Contact patients via phone, email, or mail to discuss outstanding balances, explain charges, and address any concerns or questions related to their bills
  • Work closely with insurance companies to resolve claims denials, rejections, or discrepancies, ensuring accurate and timely payment
  • Establish and negotiate payment plans with patients, based on their financial situation and organization policies
  • Confirm and update patient demographic and insurance information to ensure accurate billing
  • Maintain detailed records of all communications, payment arrangements, and actions taken in the collections process
  • Stay informed about healthcare billing regulations, compliance requirements, and privacy laws (e.g., HIPAA) to ensure all practices are in accordance with industry standards
  • Provide exceptional customer service, demonstrating empathy and professionalism in all interactions with patients and responsible parties

Job Description:

  • Provides customer support through different communication channels (Phone, email, chat).
  • Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
  • Collaborate with colleagues and different departments to resolve complex issues
  • Maintain accurate records on customer interactions, transaction, feedback, etc.

Requirements

  • At least 1 year BPO experience handling US Healthcare account
  • Good Working knowledge with Accounts Receivable
  • Excellent written and verbal English communication skills
  • Amenable to work ONSITE in Makati
  • Willing to work night shifts

Benefits
What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives
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Director - Legal and Compliance (U.S Healthcare) BGC

Taguig, National Capital Region ₱2400000 - ₱4800000 Y ZKTeco Solutions

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Job Description

Job Summary

The Legal and Compliance Director is responsible for overseeing all legal and regulatory compliance matters for the organization, ensuring adherence to federal, state, and local healthcare laws, as well as internal policies and procedures. This role will provide legal counsel to senior leadership, mitigate legal and compliance risks, develop corporate governance frameworks, and ensure compliance with laws such as HIPAA, Stark Law, Anti-Kickback Statute, and other U.S. healthcare regulations.

Key ResponsibilitiesLegal Advisory & Risk Management

  • Provide strategic legal counsel to the executive team on a wide range of healthcare-related legal matters.
  • Draft, review, and negotiate contracts, agreements, and other legal documents to ensure compliance and protect organizational interests.
  • Identify potential legal risks and develop mitigation strategies.
  • Represent the company in legal proceedings, regulatory inquiries, and external negotiations as needed.

Regulatory Compliance Oversight

  • Lead the organization's compliance program, ensuring adherence to U.S. federal and state healthcare laws.
  • Ensure compliance with regulations such as HIPAA, HITECH Act, Affordable Care Act (ACA), Medicare/Medicaid regulations, and FDA/FTC guidelines (if applicable).
  • Develop and implement policies, procedures, and internal controls to maintain compliance.
  • Coordinate with regulatory agencies and ensure timely reporting of required documentation.

Corporate Governance & Training

  • Establish and maintain effective governance frameworks to ensure ethical business practices.
  • Conduct compliance training and awareness programs for employees and leadership.
  • Oversee investigations of compliance violations, manage incident reporting, and recommend corrective actions.

Collaboration & Stakeholder Management

  • Work closely with cross-functional teams including HR, Finance, Operations, and Clinical teams to ensure compliance is integrated across the organization.
  • Advise leadership on emerging legal and compliance risks affecting the healthcare industry.
  • Build and maintain strong relationships with regulators, auditors, and external counsel.

Qualifications

Education:

  • Juris Doctor (JD) from an accredited U.S. law school.
  • Active membership in at least one U.S. state bar (mandatory).

Experience:

  • 10+ years of combined experience in healthcare law, legal counsel, and compliance leadership roles.
  • Proven track record in managing U.S. healthcare regulations and compliance frameworks.
  • Experience in drafting and negotiating complex contracts and managing litigation.
  • Prior leadership experience in a healthcare provider, payer, or pharmaceutical company preferred.

Knowledge & Skills:

  • In-depth understanding of U.S. healthcare laws and regulatory requirements (HIPAA, Stark Law, Anti-Kickback Statute, False Claims Act, etc.).
  • Strong analytical, negotiation, and decision-making skills.
  • Excellent communication and interpersonal abilities.
  • High ethical standards and sound business judgment.

Key Competencies

  • Strategic Thinking – Ability to anticipate regulatory trends and mitigate risks proactively.
  • Leadership – Proven ability to lead cross-functional teams and drive compliance initiatives.
  • Problem-Solving – Effective in resolving complex legal and regulatory issues.
  • Attention to Detail – Ensures accuracy in legal documents, policies, and reporting.
  • Confidentiality – Maintains discretion when handling sensitive legal and compliance matters.

Job Types: Full-time, Permanent

Pay: Php350, Php400,000.00 per month

Benefits:

  • Health insurance
  • Life insurance
  • Paid training

Experience:

  • U.S. healthcare regulations and compliance frameworks: 7 years (Preferred)

License/Certification:

  • Juris Doctor (JD) from an accredited U.S. law school (Preferred)
  • Active membership in at least one U.S. state bar (mandatory) (Preferred)

Work Location: In person

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