79 Medical Services jobs in the Philippines

MedGrocer's digitally-enabled medicine programs, telehealth services, and corporate clinic medical staff work with hundreds of employers and pharma companies to improve the physical and mental health of over one million Filipinos every year.

The Medical Services Specialist ensures smooth clinic operations by coordinating activities, ensuring compliance, conducting audits, delivering training, and managing client relations to maintain high-quality service delivery.

Why Join MedGrocer?

At MedGrocer, you will gain autonomy through engaging projects like conducting onsite audits and developing training programs to enhance our clinic operations. You will collaborate with a team of medical staff and account stakeholders, directly contributing to our purpose of improving the lives of over one million Filipinos by ensuring high-quality service on our digitally-enabled platform.

Key Responsibilities

• Foster alignment between headquarters, medical staff, and client stakeholders through clear communication and effective issue resolution.
• Oversee daily clinic operations to ensure coordination and compliance with company policies, regulatory standards, and client requirements.
• Conduct regular onsite audits to assess clinic performance, identify process improvements, and ensure adherence to quality standards.
• Develop and deliver training programs to enhance clinic operations and service delivery.
• Serve as a key point of contact for client concerns, questions, and feedback to proactively enhance client satisfaction.

Minimum Qualifications

• Bachelor's degree in any field.
• Preferably a registered nurse with an active PRC license, but not required.
• Proficient in Google Workspace applications.
• Excellent communication and organizational skills.
• Must be willing to work onsite in Makati and travel for site visits.

Perks and Benefits

• HMO for employees
• Paid leaves
• Medicine coupons
• Opportunities for promotion and performance bonuses
• 13th month pay

Job Type: Full-time

Pay: Php30, Php40,000.00 per month

Work Location: In person

Application Deadline: 10/31/2025

Job Specifications:

Graduate of Bachelor's Degree Graduate in any health related field; license is not required.

Previous formal experience is not required.

Experience with providing warm and pleasant customer service while assisting walk-in members regarding issues and concerns such as but not limited to eligibility, benefit administration, claims, billing reimbursements is preferred.

Effective team player with excellent interpersonal relationship skills and can work and relate well with co-employees, patients and customers.

Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.

Outstanding oral and written communication skills.

Strong ethics and a high level of personal and professional integrity.

Must have basic familiarity on laws and requirements relating to healthcare management.

Computer literate and proficient in using MS office programs.

Duties and Responsibilities:

I. Medical Referral Office Services

Greets and assists walk-in members.

Handles and documents check-in of walk-in members on log-sheet.

Helps/assists walk-in members connect with the right department and/or individuals

Answers incoming calls and directs them accordingly.

Forwards inquiries and concerns to appropriate staff/departments (e.g. other Medical Referral Office staff, Medical Management, Claims, Customer Service, MAS, Sales, etc.) or providers (e.g. doctor's clinics, hospital departments, etc.)

Secures appointments for members related to their off-island referral.

Assist members to providers' clinics for their consultations and to departments within the provider facilities for various medical services and procedures.

Provides offsite letters of authorization to members for services not requiring prior authorization.

Provides assistance and support to members throughout the admission and discharge process for inpatients.

10.    Computes and explains member's financial responsibility by reviewing statements of account.

Provides customer support throughout the care coordination including but not limited to any of the following concerns:

11.1. Authorization (including Off-Island),

11.2.Eligibility,

11.3. Benefit Administration,

11.4.Referrals,

11.5. Appointments,

11.6.Claims,

11.7. Billing,

11.8.Reimbursements,

11.9.Plan Deductible,

Referrals (status & process),

Insurance Coverage,

Coordination of Benefits

Services available,

Network Providers/Access,

Medical Records

Appeals

Grievances

12.    Provides assistance to member for concerns related to off-island travel, transportation, accommodation, etc.

Provides benefit information to members to facilitate understanding of benefit coverage, plan limitations and exclusions.

II. Administrative Support

Collects updated membership information from walk-in members.

Updates and maintain member walk-in, phone, and email inquiry demographics on a weekly basis.

Updates and organizes member files.

Regularly inputs member-related information into the company's digital database.

Provides administrative support related to Medical Referral Office functions.

Performs other duties that may be assign from time to time.

Job Summary:

Reports directly to the Medical Referral Office Lead, responsible for providing warm and pleasant customer service in assisting members regarding issues and concerns such as but not limited to off-island authorization, eligibility, benefit administration, claims, billing, reimbursements, medical records, etc. and administrative support to functions related to the Medical Referral Office processes

Ambulatory Surgery Medical Coder (SDS Focus)

Location: Quezon City

Work Setup: Onsite

Compensation: Base Pay + R1 Allowance + Clinical Allowance

About the Role:

We are looking for a highly skilled Medical Coder with expertise in Same Day Surgery (SDS) / Ambulatory Surgery cases. The role involves reviewing patient medical records and assigning the correct ICD-10-CM, HCPCS, and CPT codes for diagnoses and procedures. Accuracy, proper sequencing, and the application of Level I and II modifiers in line with coding guidelines are critical for success in this position.

Key Responsibilities:

• Review and analyze SDS medical records for accurate coding.
• Assign correct ICD-10-CM, HCPCS, and CPT codes with proper sequencing.
• Apply Level I and Level II modifiers following official coding guidelines.
• Stay updated with coding clinics and CPT assistants for compliance.

Qualifications:

• Must be willing to work onsite in Quezon City.
• Holds an active CPC, COC, CCS-P, and/or CCS certification.
• Graduate of BS Nursing or any Medical Allied course.
• At least 3 years of solid SDS Medical Coding experience.

What We Offer:

• Competitive Total Rewards Package
• Target variable incentives
• HMO coverage from Day 1 with free dependent enrollment
• Life insurance coverage
• Paid Time-Off benefits
• Sick leave conversion
• Night differential pay
• Employee referral program
• All mandatory statutory benefits

Job Type: Full-time

Application Question(s):

• 1. Years of experience as SDS Medical Coder:

• Do you have a Medical Coding License (CPC, COC or, CCS certification)?

• Are you a Registered Nurse?
• Amenable with the shift? (day shift)
• Amenable to work onsite?
• Amenable with the location (Cubao)?
• Current Salary:
• Expected Salary:
• Reason for leaving current company:
• Availability to start:
• Availability for virtual interview:
• Active Viber number:
• Full name (First Name. Middle Name, Surname)

Work Location: In person

The Manager, Clinical Services will be responsible for the day-to-day leadership of the direct reports, including members of the Clinical Services team. The manager will support the core values of the company while ensuring they are supporting quality and efficiency through our Clinical Services offering. The Manager participates in driving decisions regarding best practices, plans, procedures, team growth and development. This is an exempt position.

Job Responsibilities:

 Participates in hiring, evaluating, developing, and coaching employees in

conjunction with human resources as applicable.

Participates in annual evaluations/reviews of direct report employees.

egular one to one meeting cadence with direct report employees to ensure

professional growth and development plans are determined and set steps for

progression.

anage interview and clinical queues to promote prompt turnaround time (TAT)

esponsible for day-to-day operations of all clinical services processes and

activities as assigned.

anage daily challenges of team members.

ollaboration with Clinical, Credentialing and Quality team members to maintain continual Joint Commission readiness.

rend clinical issues that yield opportunity for education/training and facilitate subsequent training development.

ollaborate with recruiters and client care managers to resolve clinical or competency requirements.

rive effective and efficient process improvements.

ollaborate with IT department to drive quality and efficiency.

bility to present to clients and drive conversations with senior client leadership.

reate education and training for team members inside and outside of the

clinical services team.

oordinates and facilitates educational opportunities for internal and external clinical team members.

oordinate and managing in conjunction with Learning and Development team the orientation schedule for new hires that is consistent, effective and eliminates redundancy.

Job Qualifications:

N degree from accredited school of nursing

ctive PRC License, USRN

even years of acute clinical care setting experience

hree years of progressive leadership experience

horough understanding of policy and procedure interpretation, writing and

teaching

nderstanding of process improvement

ust be self-directed in improving and acquiring the abilities and skills

necessary to enhance job performance

uperior organizational skills

bility to stay on task with minimal direction

bility to meet tight deadlines and handle multiple distractions

bility to handle large workload, while maintaining high level of quality work

xcellent leadership and communication skills

trong analytical skills and exceptional attention to detail

trong computer skills. Proficient utilizing Microsoft Outlook and Office

programs

bility to track/trend data utilizing Excel

bility to navigate custom designed platforms and databases

onfident with internet research capabilities and skills

bility to research and critically think to find solutions for issues

trong team player

onfident in decision making and able to make decisions at times with limited information

bility to work with others inside and outside the team.

ersonable, friendly, and upbeat personality.

Preferences:

xperience handling people

nowledge of US healthcare system, travel industry and hospital standards is an advantage

ne year of healthcare travel industry experience

Job Title: Clinical Services Manager

Location: McKinley, Taguig

Work set-up: Onsite

Company Overview:

AGS Health is more than a revenue cycle management company - we're a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading health systems, physician groups, and academic medical centers in the U.S. With expert insight into modern revenue cycle practices, the company pairs cutting-edge technology with college-educated, trained RCM experts to help clients optimize workflow, maintain compliance, prevent revenue leakage, and achieve a high-performance revenue cycle. AGS health employs more than 14,000 team members globally and partners with more than 150 clients across a variety of care settings, specialties, and billing systems.

For more details, please visit

You can also visit us at

SCOPE OF WORK:

· The position will report directly to the Vice President of Coding and Clinical Service Line. This is an Individual Contributor role focusing on independent work and expertise within a specific area, rather than managing a team or having managerial responsibilities. The individual will be responsible for delivering improved performance/results through key stakeholder engagement and problem-solving skills.

· This role will support service line leadership collaboration with AGS teams including Operations, Sales, Customer Success, Marketing, Talent Development, and Quality Audit teams. Examples include:

o Drive quality improvement initiatives within the clinical service line

o Refine AGS's quality audit framework as industry trends and regulatory requirements evolve

o Create case studies from clinical projects utilizing "real time" key outcomes and data

o Participate in general go-to-market initiatives as needed

· The individual will monitor clinical pipeline to build thoughtful presentations for leadership meetings, strategic initiatives and other efforts. Navigate sales platform, quantify relevant pipeline, and assist with prioritizing pursuits.

· The individual will work adjacent to the Sales / Customer Success teams to build compelling value propositions and customized solutions during the sales cycle. May require researching competition and updates on global market trends within the clinical RCM domain.

· This position will also support the Director – Clinical Education with development and refinement of education and training content for AGS resources within the clinical service lines (Clinical Authorizations, Clinical Denials & Appeals, Physician Advisory Services, Clinical Documentation Integrity, and Utilization Review) across global locations

· This role will also support the expansion into new clinical administrative service lines such as care management and coordination, pharmacovigilance, etc.

JOBS-TO-BE-DONE (JTBDs):

1. Serve as clinical SME in support of the following:

a. Support VP of Coding and Clinical Service Line – Drive operational excellence and collaboratively assist the VP with tasks to execute the organization's strategy for the relevant service lines.

b. Go to Market Support – Be able to communicate effectively to internally and externally with clinical domain acumen. Support AGS's thought leadership by researching and creating content for market-focused communications (e.g., white papers, collaterals, case studies, clinical sections of the website, webinars). Help ensure the content remains current with industry-leading solutions and delivery locations.

c. Clinical analytics – assist with the identification and collection of key performance indicators for the clinical service lines; utilize current project data to generate insights related to production, quality, and outcomes for both external and internal uses.

d. Education and Training – Support the Director Clinical Education to develop and refresh clinical services training content. Assist with the collaboration among AGS internal teams, including Talent Development and Operations, for a comprehensive approach. Knowledge of industry trends and regulatory compliance matters will be important.

1. Support the refinement, further development, and implementation of the company's Clinical Solutions strategy in line with AGS's long-term (5+ year) strategic plan

2. Support other clinical service line initiatives as requested.

KEY SELECTION CRITERIA:

Candidate qualifications:

1. Minimum of 5+ years combined experience in direct patient care and/or a clinical administrator role such as: utilization management, clinical authorization, clinical denials or clinical documentation integrity with a professional history in reputable companies.

a. Registered Nurse (RN) or other clinical patient care designation

b. BS/BA is required and a graduate degree in health, medicine, or nursing is preferred

c. Adjacent experience with US revenue cycle is a plus

1. Knowledge of the US healthcare industry, including a broad understanding of both the payor and provider ecosystems and how they interrelate. Grasp of clinical RCM vendors / services / trends / disruptions / service differentiators.

2. Strong understanding and experience working with revenue cycle-related technology in the clinical revenue cycle, including computer-assisted CDI, auditing, utilization management review, clinical appeal automation, etc.

3. Global Experience – preferred experience of 2+ years of working in/with global RCM business process outsourcing delivery models

4. Ability to constantly learn and synthesize – active listener with intellectual curiosity. Keep up to date on industry trends to shape the Solutions framework and intellectual property for the service line.

5. Product knowledge – broad understanding of AGS products/services and how they interplay, coupled with strong knowledge of technology solutions and platforms

6. Demonstrates initiative and strives for excellence for him/herself and his/her team.

Compliance:

Awareness and adherence to all applicable organization-wide policies and procedures, including but not limited to Information security, HIPAA, and HR policies

· Should adhere to applicable Do's & Don'ts of implemented Information Security Management System, including HIPAA, HITRUST, and NIST regulations

· Adherence to the rules and regulations as outlined by the management

KEY SUCCESS FACTORS:

· Fluent in English. Professional and polished written and verbal communication skills

· Analytical thinking

· Desire to operate in a fast-paced environment and work with a cross-functional team spread across different geographical locations

· BPO industry knowledge, including an understanding of enabling functions (quality, training, hiring, technology, pricing, etc.) and operating environment

· Ability to work seamlessly with virtual teams

Clinical Services Team Leader (Philippines)

About Interstaff

Interstaff is an international healthcare staffing company that recruits nurses from all over the world and

places them in hospitals throughout the United States. Founded in 1998, Interstaff has a strong track

record and was a pioneer of the international staffing model. As we look ahead to celebrating our 22nd

year in business we also look forward to adapting to the growing needs of the U.S. healthcare system.

Our team culture is one of passion and mutual support. You can expect to feel truly supported and

empowered to do your job well. At Interstaff, we take pride in serving our nurses and client hospitals.

Job Description Summary:

The Clinical Services Team Leader role is a full-time, Philippines based position, whose job is to facilitate

document collection and processing for registered nurse credentialing (licensing, compliance &

onboarding), and facilitate nurse support activities. The team leader communicates daily with nurses

regarding their outstanding credentialing documents and facilitates the team's continuous improvement of

the same. Great communication skills and an overwhelming sense of responsibility is critical for success

in this position.This is a fully-remote, work-from-home role.

Job Responsibilities

• Work within ISI systems (Zoho, Canvas, Basecamp, Google)

• Attain expertise in external client hospital document collection and onboarding systems

• Oversee the maintenance of working nurse compliance records in client systems

• Facilitate document review, submission, and processing of nurse documents for onboarding and

ongoing compliance

• Escalate deficiencies to Credentialing Manager for follow-up

• Document all communication with working nurses, clients, and ISI team in ISI systems

• Collaborate with the onboarding and compliance team to suggest improvements to internal

processes

• Assist the Clinical Services team in other areas when time allows as requested by leadership.

Team leadership:

• Participate in the hiring process for new Clinical Services team members.

• Provide training to new team members joining the Clinical Services team.

• Provide feedback to the team members for continuous improvement in the credentialing

processes.

• Provide feedback to the Credentialing Manager regarding team member performance during

semi-annual performance reviews, and as necessary.

• Assist with process improvement for credentialing.

Education, Training, and Experience

• Minimum of 2 years experience in a related field

• Minimum of Associate's Degree in related field

• Strong English proficiency

• Data entry and/or database experience

• High level of accountability, proven ability to take ownership and solve problems

• Demonstrated ability to work in a team-oriented, collaborative environment

• Time management skills and self-efficiency

• Analytical thinker with strong conceptual and problem-solving skills

• Meticulous attention to detail with the ability to multitask

• Ability to work under pressure and meet deadlines

• Excellent documentation, communication, and computer skills

• High level of integrity and trustworthiness.

Job Type: Full-time

Pay: Php29, Php35,000.00 per month

Benefits:

• Company events
• Health insurance
• Opportunities for promotion
• Paid training
• Work from home

Application Question(s):

• Do you have advanced proficiency in using CRM platforms? What CRM tools have you used? (answer is required)
• What internal systems or databases have you used before for data entry or tracking documents? (answer is required)
• Do you have advanced proficiency in using Google Suite- form, work, excel? (answer is required)

Experience:

• Credentialing or related: 2 years (Required)

Work Location: Remote

Expected Start Date: 10/01/2025

• 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

About the role

We are looking for a dedicated and caring Patient Care Associate to join our team at the Kaiser Medical Center in Makati City, Metro Manila. This position will involve providing high-quality patient care and support as part of a critical project-based role. As a Patient Care Associate, you will be an integral part of our mission to deliver exceptional healthcare services to our patients.

What you'll be doing

• Greeting and welcoming patients, and assisting them with check-in and check-out procedures
• Monitoring and recording patient vital signs, symptoms, and progress
• Providing compassionate and attentive patient care, including assistance with daily living activities
• Collaborating with the medical team to ensure seamless coordination of patient care
• Maintaining accurate and detailed patient records and documentation
• Adhering to all hospital policies, procedures, and safety protocols
• Contributing to a positive and professional healthcare environment

What we're looking for

• A minimum of 1 year of experience in a patient care or healthcare support role
• Strong communication and interpersonal skills, with the ability to interact compassionately with patients and their families
• Excellent attention to detail and the ability to accurately record and maintain patient information
• A team-oriented mindset and the flexibility to adapt to a fast-paced healthcare environment
• Certification or training in patient care, medical administration, or a related field is preferred

If you are ready to join our team and make a meaningful impact, apply now for this exciting opportunity.