Claims Assistant/Specialist [For Pooling]

Reposted 2 Days Ago
Be an Early Applicant
Pasig, Eastern Manila District, National Capital Region
In-Office
Junior
Healthtech • Software
The Role
The Claims Assistant/Specialist processes healthcare claims, checks documents, encodes details in a system, and prepares reports for healthcare providers.
Summary Generated by Built In

Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we’re on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we’d love to meet you!

👋🏻 Hi! We’re HPPI, part of the Hive Health GroupAbout us

HPPI is an HMO that is part of the Hive Health Group of Companies, which is on a mission to provide the best-in-class health plans for small-medium enterprises (SMEs) in the Philippines.

HPPI’s 30+ years of providing care, combined with Hive Health’s innovative tech capabilities, enables the Hive Health Group of Companies to offer comprehensive, hassle-free digital health plans through our all-in-one platform. Together, we are revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time.

Target start date: December 2025

Responsibilities
  • Processing of out-patient and in-patient utilization

    • Checking the completeness of supporting documents

    • Encoding in the Enhanced Membership Monitoring System (EMMS) of details of utilization such as diagnosis, amount, procedure done, hospital bills, and professional fees

  • Processing of members’ utilization reimbursement such as maternity assistance, ER changes, laboratory changes, professional fees, dental fees, and death assistance

  • Processing of Account Receivables utilization (for special accommodation of non-members) if applicable

  • Printing of utilization report summary from the EMMS for sending to the Providers (hospitals, doctors, clinics, labs)

  • Perform other functions that may be in line with business needs

Qualifications
  • The first month of employment will be fully onsite, transitioning to hybrid work afterwards

  • Education:

    • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.

  • Experience:

    • Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.

    • Familiarity with medical coding and billing procedures.

  • Curious, results-driven, ownership mentality with growth mindset

  • Excellent verbal and written communications

  • Collaborative team player with the ability to adapt quickly in a fast-paced environment

  • Passion for innovation in healthcare

Join our team as we revolutionalize healthcare in the Philippines—and beyond!

Day 1 benefits for full-time employees – because we practice what we preach! Enjoy comprehensive healthcare coverage for you and your dependent, and paid time off from the start.
🚀 Grow with us – mentorship, career development, and learning opportunities to help you thrive.
🌍 Global connections – gain insights and support from top minds at Harvard, Stanford, and beyond.

Top Skills

Enhanced Membership Monitoring System (Emms)
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Metro Manila, Metro Manila
53 Employees

What We Do

Hive Health is on a mission to provide hassle-free HMO for small-medium enterprises (SMEs) and startups in the Philippines.

We offer comprehensive, hassle-free HMO plans through our all-in-one platform. Founded at Harvard and Stanford and backed by top global investors such as Y Combinator, this award-winning startup is revolutionizing access to quality, affordable healthcare for millions of Filipinos, one SME at a time.

Similar Jobs

Hybrid
Manila, Metro Manila, National Capital Region, PHL
289097 Employees
Hybrid
Manila, Metro Manila, National Capital Region, PHL
289097 Employees

Integral Ad Science Logo Integral Ad Science

Senior Account Executive

AdTech • Big Data • Digital Media • Marketing Tech
Easy Apply
Hybrid
Manila, Metro Manila, National Capital Region, PHL
900 Employees

General Motors Logo General Motors

Treasury & AR/AP Analyst

Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Hybrid
Manila, Metro Manila, National Capital Region, PHL
165000 Employees

Similar Companies Hiring

Standard Template Labs Thumbnail
Software • Information Technology • Artificial Intelligence
New York, NY
10 Employees
PRIMA Thumbnail
Travel • Software • Marketing Tech • Hospitality • eCommerce
US
15 Employees
Scotch Thumbnail
Software • Retail • Payments • Fintech • eCommerce • Artificial Intelligence • Analytics
US
25 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account