61 Professionals In Healthcare jobs in the Philippines
CSR - Healthcare
Posted 10 days ago
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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
Healthcare Representative
Posted 21 days ago
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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
Healthcare Investigation Representative

Posted 2 days ago
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Job Description
**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._
Healthcare Billing Representative

Posted 2 days ago
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Job Description
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._
Healthcare Claims Representative

Posted 2 days ago
Job Viewed
Job Description
**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._
Healthcare Billing Representative
Posted today
Job Viewed
Job Description
- 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
Quality Auditor - Healthcare
Posted 17 days ago
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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
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Team Lead - Healthcare
Posted 21 days ago
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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
US Recruiter | Healthcare
Posted 21 days ago
Job Viewed
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.
Pharmacy Assistant (Healthcare)
Posted 18 days ago
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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