61 Professionals In Healthcare jobs in the Philippines

CSR - Healthcare

Pasig City, National Capital Region HRTX

Posted 10 days ago

Job Viewed

Tap Again To Close

Job Description

Responsibilities:

  • Conduct comprehensive reviews of patient medical records to identify areas for improvement in clinical documentation
  • Collaborate with physicians and other healthcare professionals to educate and train them on best practices for clear, accurate, and compliant documentation
  • Analyze data and generate reports to track and measure the impact of CDI initiatives
  • Stay up-to-date with industry regulations, guidelines, and coding changes to ensure the organization's compliance
  • Provide expert guidance and support to the wider team on CDI-related matters
  • Contribute to the continuous development and refinement of the CDI program
This advertiser has chosen not to accept applicants from your region.

Healthcare Representative

Cebu, Cebu HRTX

Posted 21 days ago

Job Viewed

Tap Again To Close

Job Description

About the Role:
Join our growing healthcare team and play a vital role in providing quality service to clients and patients. This position is ideal for medical allied graduates who are eager to start or grow their careers in a professional healthcare support environment.

Qualifications:

  • Education: Medical Allied Graduate (e.g., Nursing, Pharmacy, Medical Technology, Physical Therapy, etc.)

  • Experience: Open to candidates with or without BPO experience

  • Strong communication and interpersonal skills

  • Willing to work onsite in Cebu City on a night shift schedule

What We Offer:

  • Competitive basic pay plus allowances and comprehensive benefits

  • Professional growth opportunities and training programs

Supportive work culture in a stable and reputable company

This advertiser has chosen not to accept applicants from your region.

Healthcare Investigation Representative

Makati, National Capital Region UnitedHealth Group

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

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.**
**Primary Responsibilities:**
+ Provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
+ Analyze, identify trends and provide reports as necessary
+ Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ Manage subrogation files
+ 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 regards 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 with serious impact. You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast paced environment that takes focus, intensity and resilience.
**Required Qualifications:**
+ High school diploma or GED or equivalent work experience
+ 1+ years of claims or collections experience
+ 1+ years of experience analyzing and solving customer problems
**Preferred Qualifications:**
+ Experience working with subrogation
+ Experience with negotiations
+ Experience working in the health care industry
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._
This advertiser has chosen not to accept applicants from your region.

Healthcare Billing Representative

Makati, National Capital Region UnitedHealth Group

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

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.**
All of us have a short list of the things that make a job great. If your list includes being able to make a difference, count us in as your next place to work. UnitedHealth Group is a Fortune 5 leader in health care at a time when health care is evolving for everyone. Our billing teams are part of an important chain of events that impact the lives of our members in positive ways. Join this group and we'll have an impact on you. Apply now and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader.
**Primary Responsibilities:**
+ Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies
+ Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
+ Educate customers regarding the availability of receiving invoices and remitting payments through online applications
+ Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
+ Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
+ 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 regards 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
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
**Required Qualifications:**
+ An education level of at least a high school diploma or GED OR equivalent years of working experience
+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
+ Ability to multi-task and to understand multiple products and multiple levels of benefits within each product
+ Able to work a 40 hour schedule within the operating hours of the site
**Preferred Qualifications:**
+ 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
+ Experience in billing or collections
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._
This advertiser has chosen not to accept applicants from your region.

Healthcare Claims Representative

Makati, National Capital Region UnitedHealth Group

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

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.**
**Primary Responsibilities:**
+ Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
+ Analyze and identify trends and provides reports as necessary
+ Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
+ 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 regards 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
**Required Qualifications:**
+ An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
+ 4+ years of experience in claims recovery and resolution
+ Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
+ Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
**Physical Requirements and Work Environment:**
+ Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
_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. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._
This advertiser has chosen not to accept applicants from your region.

Healthcare Billing Representative

Cobden and Carter International

Posted today

Job Viewed

Tap Again To Close

Job Description

Job Responsibilities:

- Customer Service orientated when on the phone with payer to resolve both payer and claim issues.
- Report root cause issues to Supervisor to be able to resolve patient issues at a higher level.

Job Qualifications
- HS Graduates are accepted with 2 years of Healthcare BPO experience.
- For 2nd year undergraduates, atleast 6 months Healthcare BPO experience.
- Atleast 2nd year college completed/ associate degree 2 years
- Claims Experience
- Ben & Eligibility is a plus!

Perks and Benefits!
- Free shuttle service
- Blended Account (80% Voice)
- HMO on Day 1
- Life Insurance on Day 1
- Performance Based Incentives
- 10% Night Differential
- Fixed Weekends Off!

Site Location : Cebu City

**Job Types**: Full-time, Permanent

**Salary**: Php23,000.00 - Php26,000.00 per month

**Benefits**:

- Health insurance
- Life insurance

Schedule:

- 8 hour shift
- Monday to Friday
- Night shift
This advertiser has chosen not to accept applicants from your region.

Quality Auditor - Healthcare

Taguig, National Capital Region HRTX

Posted 17 days ago

Job Viewed

Tap Again To Close

Job Description

Role Overview:
We are looking for a Quality Auditor Healthcare to ensure high standards of performance and compliance within our ROI (Release of Information) team. The successful candidate will play a key role in monitoring, evaluating, and improving both voice and non-voice processes.

Key Responsibilities:

  • Monitor and evaluate ROI executive performance through audits (voice and non-voice).
  • Analyze call data to identify improvement opportunities.
  • Provide constructive feedback and collaborate on process improvements to enhance call efficiency.
  • Prepare reports on call quality and performance metrics.
  • Ensure timely completion of audits and feedback in line with agreed TATs.

Qualifications:
Background in Healthcare/RCM is preferred
Strong oral and written communication skills
Flexible to work in any shift (24/7 operations)
Detail-oriented with strong analytical and reporting skills

This advertiser has chosen not to accept applicants from your region.
Be The First To Know

About the latest Professionals in healthcare Jobs in Philippines !

Team Lead - Healthcare

HRTX

Posted 21 days ago

Job Viewed

Tap Again To Close

Job Description

We're Hiring! | Team Lead - Healthcare
Onsite | Night Shift | Eastwood, Quezon City
Company: PM Consulting
Salary: Up to 55,000 Package

PM Consulting is looking for an experienced Team Lead - Healthcare to join our dynamic team! If you're a driven leader with a solid background in healthcare operations, we want to hear from you!

Qualifications:
️ 3-5 years of experience as a Team Lead in the healthcare industry (BPO setting preferred)
️ Bachelors degree holder
️ Strong leadership, coaching, and performance management skills
️ Amenable to work onsite in Eastwood, QC
️ Available to work night shifts
️ Can start ASAP

What We Offer:
Competitive salary package of up to 55,000
Stable and supportive work environment
Opportunities for growth and development
Work with a reputable client in the healthcare sector


This advertiser has chosen not to accept applicants from your region.

US Recruiter | Healthcare

Taguig, National Capital Region HRTX

Posted 21 days ago

Job Viewed

Tap Again To Close

Job Description

We are seeking a results-driven US Healthcare Recruiter to source, screen, and hire top healthcare professionals for our US-based clients. The ideal candidate will have a deep understanding of the US healthcare industry, strong interpersonal skills, and the ability to manage the full recruitment lifecycle.

Key Responsibilities:

  • Source qualified healthcare professionals (RNs, LPNs, CNAs, Therapists, etc.) through various channels including job boards, social media, referrals, and networking.
  • Conduct initial phone screenings, assess candidate qualifications, and ensure alignment with job requirements.
  • Coordinate interviews between candidates and hiring managers or clients.
  • Manage end-to-end recruitment process including offer negotiation and onboarding assistance.
  • Maintain a strong candidate pipeline for current and future openings.
  • Stay up to date with US healthcare licensing and credentialing requirements.
  • Develop and maintain relationships with candidates to ensure a positive recruitment experience.
  • Meet weekly/monthly hiring targets and key performance indicators (KPIs).
  • Collaborate with the HR and compliance teams to ensure documentation and credentialing are in place.
  • Provide regular reports on hiring progress and market insights to leadership.
This advertiser has chosen not to accept applicants from your region.

Pharmacy Assistant (Healthcare)

Muntinlupa City, National Capital Region HRTX

Posted 18 days ago

Job Viewed

Tap Again To Close

Job Description

Job Summary

The ideal candidate has at least 6 months of relevant experience and is committed to ensuring the safe and efficient handling of medications and customer service.

Key Responsibilities:

  • Assist pharmacists in preparing and dispensing medications accurately.
  • Receive and process prescriptions from patients and healthcare providers.
  • Maintain inventory by checking stock levels, receiving deliveries, and organizing supplies.
  • Ensure proper labeling, packaging, and storage of medications in compliance with regulations.
  • Respond to customer inquiries and provide basic guidance under the supervision of a pharmacist.
  • Help maintain cleanliness and orderliness of the pharmacy area.
  • Perform clerical tasks such as data entry, filing, and updating patient records.

Qualifications:

  • At least 6 months of experience in a pharmacy, hospital, or clinical setting
  • Completion of a pharmacy assistant training program or relevant healthcare course is preferred
  • Basic knowledge of medications, prescription handling, and pharmacy operations
  • Good organizational and communication skills
  • Ability to work in a fast-paced environment and follow detailed instructions
This advertiser has chosen not to accept applicants from your region.

Nearby Locations

Other Jobs Near Me

Industry

  1. request_quote Accounting
  2. work Administrative
  3. eco Agriculture Forestry
  4. smart_toy AI & Emerging Technologies
  5. school Apprenticeships & Trainee
  6. apartment Architecture
  7. palette Arts & Entertainment
  8. directions_car Automotive
  9. flight_takeoff Aviation
  10. account_balance Banking & Finance
  11. local_florist Beauty & Wellness
  12. restaurant Catering
  13. volunteer_activism Charity & Voluntary
  14. science Chemical Engineering
  15. child_friendly Childcare
  16. foundation Civil Engineering
  17. clean_hands Cleaning & Sanitation
  18. diversity_3 Community & Social Care
  19. construction Construction
  20. brush Creative & Digital
  21. currency_bitcoin Crypto & Blockchain
  22. support_agent Customer Service & Helpdesk
  23. medical_services Dental
  24. medical_services Driving & Transport
  25. medical_services E Commerce & Social Media
  26. school Education & Teaching
  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
View All Professionals In Healthcare Jobs