Claims Officer (Hppi)

Hi! We're HPPI, part of the Hive Health Group About us HPPI is an HMO that is part of the 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) Qualifications Must be willing to work onsite in Ortigas Education : Bachelor's degree in Healthcare Administration, Business, 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 Benefits & Perks of Joining Us Health benefits and sick leaves Company laptop 13th month pay Career development and mentorship Access to global tech and advisory support from Harvard, Stanford, and more #J-18808-Ljbffr