Claims Assistant/Specialist

Reposted 8 Days Ago
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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.

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)
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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.

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