85 St Luke S Medical Center jobs in the Philippines

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.

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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.

We are seeking a detail-oriented and empathetic
Patient Care & Consultation Coordinator
to support our mental health practice. This role involves handling patient pre-consultations, managing follow-ups, coordinating schedules (with a focus on international patients), and maintaining strong communication throughout the patient journey. The ideal candidate is highly organized, proactive, and skilled at building trust with patients while ensuring smooth operational flow.

Key Responsibilities

• Conduct pre-consultations and assist patients in understanding the intake process.
• Manage scheduling and appointment coordination, including for international patients across time zones.
• Perform patient outreach via phone calls, email, and follow-ups to ensure engagement and satisfaction.
• Fill out and process patient paperwork accurately and promptly.
• Follow up with warm leads to increase patient conversion and retention.
• Collaborate with providers and team members to support efficient clinic operations.

Requirements
*Qualifications & Preferences *

• Excellent communication skills with a clear, neutral speaking voice (no heavy accent).
• Prior experience in billing (preferred).
• Background in mental health services or practices (highly preferred).
• Sales and social media management experience (huge plus).
• Strong organizational skills with attention to detail.
• Ability to work independently and manage multiple priorities in a fast-paced environment.

*Tools & Systems Used *

• CRM: GoHighLevel
• EMR: Valant
• Phone/Scheduling: Weave

JOB PURPOSE:

The position is responsible for delivering the highest quality of care to VIP Members and/or regular members and efficient execution of service recovery, as may be necessary.

DUTIES AND RESPONSIBILITIES:

• Carries out best-in-class assistance to VIP members and/or specially endorsed members availing of In-patient or Out-patient HMO services
• Executes seamless service recovery for Members/Clients who have major service complaints
• Ensures availability of LOA and confirms schedule of availment with providers and members
• Liaise with doctors, nurses and hospital staff when needed
• Upholds expertise in delivering VIP assistance and service recovery according to CX's protocols
• Recommends service solutions to further elevate the company's service level that may eventually impact on PhilCare's business objectives and goals
• Monthly submission of performance/ availment with handled members/ accounts
• To take any other responsibilities or tasks that are within the employee's skills and abilities whenever reasonably instructed

QUALIFICATIONS:

• University degree graduate of any Medical allied, preferably BS Nursing
• At least 3 years of related work experience
• With good Customer Service, Customer Focus, Phone Skills, Listening, Verbal Communication, Data Entry Skills, Product Knowledge, Job Knowledge, Objectivity, Dependability, and can do Multi-tasking
• Familiar with HR principles, practices and Timekeeping procedures
• Knowledge of MS Office Applications

Working Environment: Field and Office-based

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Life insurance

Ability to commute/relocate:

• Makati: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• What's your expected monthly salary?

Education:

• Bachelor's (Preferred)

Experience:

• Customer service: 3 years (Preferred)

Work Location: In person

Duties and Responsibilities:

• Assist patients in accessing care and navigating hospital services. Assess barriers to care and engage patients and families in creating potential solutions to hospital-related challenges.
• Shall help and guide the patient through the health care system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require.
• Identify appropriate and credible resources responsive to patient needs (whether clinical or non-clinical).
• Educate patients and families on the multidisciplinary nature of care treatment, the roles of the team members and what to expect from the health care system. Refer to clinical staff to answer questions about clinical information,treatment choices and potential outcomes.
• Empower patients to communicate their preferences and priorities for treatment to their health care team; facilitate shared decision making in the patient's health care.
• Reduce barriers that keep patients from getting timely treatment by identifying patient needs and directing them to sources of emotional, financial, administrative, or cultural support.
• Encourage patients to communicate their preferences and priorities for treatment to their health care team.
• Shall work with different groups as well as health care teams and resource providers.
• Build professional relationships with the health care team by learning about the role of each team members and to facilitate patient healthcare.
• Shall maintain high sense of confidentiality especially with the patient's information.
• Follow up with patients to support adherence to agreed-upon treatment plan through continued non-clinical barrier assessment and referrals to supportive resources in collaboration with the clinical team. Contribute to patient navigation program development, implementation and evaluation.
• Help patients optimize time with their doctors and treatment team(e.g.prioritize questions, clarify information with treatment team).
• Encourage active communication between patients/ families and health care providers to optimize outcomes.

Minimum Qualifications:

• Candidate must be a Graduate of a Bachelor's Degree course in customer service related (BS Hotel, Restaurant and Management, etc.)
• With at least experience in the customer service related field and excellent Customer Service Skills
• Excellent communication skills
• Employs active listening and is attentive to details
• Computer literate in Windows-based applications
• Basic understanding of medical terminologies, hospital operations, and payment processing is an advantage.
• Willing to work in shifting schedule
• Willing to work on-site in Bonifacio Global City, Taguig.

You will have experience of:

• Experience in a data processing/entry/analysis role

• Experience working accurately with large volumes of data

• Experience of working with multiple systems Microsoft packages specifically with Excel

You will: As part of InHealth, it is a privilege to work in a company that is so focused on making healthcare better, and we expect that anyone who works here will have a set of qualities that align with our corporate ethos, namely:

• Committed to making healthcare better for all

• Have very high standards

• Seeks to improve themselves and everything they do

Job description Patient Care Administrator

• Be honest and open

• Works collaboratively and cooperatively with others

• Confident and assured, but not arrogant

• Respectful of others' views

• Be flexible in your working patterns to fulfil requirements and be willing to adjust these at short notice to accommodate unexpected changes

• Be honest and full to the brim with integrity

• Not be afraid to offer your opinion – we love hearing new ideas

• Comply with all local and InHealth policies, procedures, and guidelines

• Comply with the requirements of the Data Protection Act

• Have responsibility for the health, safety and welfare of self and others and to always comply with the requirements of health and safety regulations.

• Undertake other duties that may be required from time to time and that are consistent with the responsibilities of the grade

• Provide satisfactory clearance of suitability from the National Bureau of Investigations

•This job description reflects the need to cultivate the service. It will evolve with the continuing expansion of the service and will be reviewed through mutual agreement between the post holder and the line manager

• To be successful in position, you'll be able to communicate with members of the public from a variety of different backgrounds and be able to rely on your organisation skills to meet the requirements of our patients

• You'll be flexible and able to work in our weekly working shift pattern as required
• Empathetic and cares about people

• Exceptional communicational skills both written and verbal

• Conscientious

• Confident when faced with challenging/emotional situation

• Ability to accept and act on constructive feedback

WHO WE ARE

Asiatel Outsourcing, a trusted outsourcing partner in the Philippines since 2006, specializes in Employer of Record (EOR) solutions, remote staffing, and shared services. With over 15 years of experience, we support global businesses in areas such as sales, customer service, IT, and healthcare.

WHY JOIN US?

We're expanding our Healthcare Team and looking for a passionate Patient Care Specialist for our Local Tagalog HMO Account. If you're a medical-allied graduate eager to provide compassionate care and excellent service, this role is for you.

JOB QUALIFICATIONS

• Must be a graduate of a four-year medical-allied course (non-negotiable)
• Open to fresh graduates with hospital internship experience
• Familiarity with medical terminology (diseases, diagnostic tests, procedures, admissible cases, etc.)
• Experience in BPO handling healthcare/HMO accounts is a plus
• Proficient in Tagalog and English (written & spoken)
• Knowledge in HMO processing/approvals and hospital admissions is an advantage
• Willing to work onsite in Ortigas Center, Pasig

KEY RESPONSIBILITIES

• Assist members via inbound/outbound calls and emails regarding HMO benefits, coverage, and approvals (Inpatient & Outpatient)
• Process and validate requests, ensuring accurate documentation and compliance
• Coordinate with hospitals/providers to verify cases and support admissions
• Maintain professionalism while delivering high-quality customer service in Tagalog and English
• Collaborate with the team and support continuous process improvement