494 Healthcare jobs in Pasig City

About the role

This is an exciting opportunity to join the team at access healthcare as a Healthcare Provider Enrollment & Credentialing Specialist. In this full-time role based in Taguig City, Metro Manila, you will be responsible for processing, verifying and validating healthcare provider applications and credentials to ensure seamless provider onboarding and network maintenance.

What you'll be doing

1. Review and process applications from healthcare providers seeking to join access healthcare's provider network
2. Verify the credentials and qualifications of applicants to ensure they meet access healthcare's requirements
3. Conduct background checks and validate the information provided in application documents
4. Collaborate with internal teams to obtain any missing information or documentation required
5. Maintain accurate and up-to-date records of provider information and credentialing status
6. Respond to inquiries from healthcare providers regarding the credentialing process
7. Identify and resolve any credentialing issues or discrepancies in a timely manner
8. Support the continuous improvement of credentialing processes and procedures

What we're looking for

1. Minimum of 2 years' experience in healthcare provider credentialing or a related field
2. Strong working knowledge of healthcare provider credentialing requirements and industry standards
3. Excellent attention to detail and ability to maintain accurate records
4. Proficient in using credentialing and provider database systems
5. Effective communication skills, both verbal and written, to liaise with internal and external stakeholders
6. Ability to work independently and as part of a team to meet deadlines
7. Familiarity with relevant healthcare regulations and compliance requirements

What we offer

At access healthcare, we are committed to providing our employees with a rewarding and supportive work environment. Some of the key benefits include:

1. Competitive salary and performance-based bonuses
2. Comprehensive medical, dental and life insurance coverage
3. Generous paid time off and holiday leave
4. Opportunities for career development and advancement
5. Collaborative and inclusive company culture

We encourage applications from candidates with a disability. If you require any adjustments or alternate formats of key information at any stage of the recruitment process, we welcome hearing from you.

Ready to join our team? Apply now to become our next Healthcare Provider Enrollment & Credentialing Specialist.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

It takes a special person to be effective in stressful situations. In fact, it takes a gifted, diplomatic and persistent person who can see past the challenge to a successful outcome. If that's you, get with us because this role at UnitedHealth Group is all about special. You'll consult directly with our customers who have outstanding medical bills to identify reasons for late payments and set up payment plans that are mutually agreeable. It's an important role and it will take all of your skills. Join us and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader.

Primary Responsibilities:

• Perform research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information
• Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
• Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits
• Prepare and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

This is a challenging role that requires providing best in class service to our customers during their times of difficulty. It's a fast paced environment that requires focus and ability to multi-task throughout the day. This is a 40 hour, full time role working flexible shifts, sometimes including evenings or Saturdays. We require our employees to be flexible enough to work any shift, any day of the week during those hours.

Required Qualifications:

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

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Optum is a drug-free workplace Optum Global Solutions (Philippines) Inc. All rights reserved.

Qualifications:

• Must have bachelor's degree preferably related to any medical allied or Marketing courses.
• Preferably with minimum of 3-year experience in healthcare business, insurance; specifically in provider relations and/or provider network experience.
• Maintain confidentiality of the patients, co-employees, and the proprietary.
• Good in planning, organizing, analyzing, problem-solving, coaching, facilitating, and must be adaptive and flexible in any situation.
• Computer literate with proficiency in MS Office, using MS Word and MS Excel.
• Driving (advantage but not a basic qualification)
• Excellent oral and written communication skills

Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.6/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job you'll love today

The Manager - Training primary role is that of coach and teacher to ensure that the trainers meet or exceed the standards set forth by Everise and the client.

Job Requirements:

• The business and for external clients, ensuring strong relationships and effective issue resolution.
• Collaborative Learning Implementation: Partnering with cross-functional teams (e.g., Quality, Operations, HR) to implement effective learning interventions.
• Process Adherence & Improvement: Ensuring strict compliance with all internal and external training processes and SOPs, while also identifying and resolving process inefficiencies to build robust controls and drive productivity improvements.
• Change Management: Bridging the gap between new organizational directions and employee readiness by equipping staff with the skills and confidence to adapt and thrive in new environments.
• Learning & Development Strategy: Conducting thorough training needs analyses, then designing, developing, and implementing comprehensive learning strategies and programs.
• Training Effectiveness & Evaluation: Regularly evaluating the impact and effectiveness of training programs using established frameworks like Kirkpatrick's Levels of Evaluation.
• Talent Development & Engagement: Leading direct reports through regular coaching, performance reviews, and planning leadership training to foster sustained development and maintain high employee engagement.

Qualifications:

• A minimum 3-5 years instructing in an adult learning environment preferably in the call center, customer service or related industry.

• Undergraduate degree in Human Capital Development, Instructional Design, English or a related discipline.

• Excellent oral and written communication skills at all levels of the organization.

• Demonstrated presentation and facilitation skills.

• Proficiency in Microsoft Office applications including PowerPoint, Excel and Word.

• Exceptional motivational, interpersonal and customer service skills; Demonstrated leadership skills.

• Ability to speak in front of medium to large sized groups of people.

• Schedule Flexibility.

• Team Player.

• Dependability regarding completion of assignments and attendance.

Responsibilities:

How this role makes an impact:

Our Behavioral Health Patient Navigators are part advocate, part liaison, and part guide. Their mission is to help ensure our enrolled mothers get the right care at the right time during their pregnancy journey, thereby maximizing health and wellbeing. This is done through a combination of systems monitoring, coordination across different functional areas, proper documentation, and a focus on the mother's experience.

Key Contributions:

Help design and lead projects related to postpartum education and messaging.

Provide support to patients regarding mental or behavioral health issues.

Collaborate on improvements to our patient navigation initiatives, especially regarding mental and behavioral health.

Monitor remote patients and their data through various systems and use existing policies and procedures to address issues as they arise.

Ensure timely and accurate documentation of all relevant data across different systems.

Use protocols and system data to refer mothers to the correct resource or care partner.

Deliver exceptional customer service and patient advocacy, with professionalism, confidentiality, and a focus on the experience and care of clients, partners, and stakeholders.

Actively engage in professional development to continuously improve existing skill sets

Other duties as assigned

JOB DESCRIPTION

• Candidate must be a graduate of BS Nursing and is a registered nurse in the Philippines.
• With Basic Occupational Safety and Health (BOSH) is REQUIRED.
• Have a professional understanding of nursing techniques, occupational medicine and occupational safety.
• Responsible in all health and wellness programs of the company.
• Responsible in compliance with all DOLE regulations.
• Perform other duties/functions related to work that may assign from time to time.

Job Types: Full-time or Part time.

Work Location: In person

Job Types: Full-time, Part-time

Language:

• English (Preferred)

Work Location: In person