Reimbursement Manager job opportunity at AIA Group.

Home Jobs In Philippines Tag: Job Reimbursement Manager position at AIA Group


DatePosted 30+ Days Ago bot
AIA Group Reimbursement Manager
Experience: 5-years
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeGeneral
loacation Makati, PH-MPI, Philippines
loacation Makati, PH-MPI....Philippines

MediCard Phils., Inc.  is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.  The competition is vast, and the benefits being offered by the competitors are tempting.  However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality. MediCard  now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement. MediCard  is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy: Monitors and checks the performance of the reimbursements for accurate and efficient processing of check payments to members/claimants and express payment bills. To ensures that medical cases are evaluated properly. Monitors the performance of Reimbursement section and ensures SLAs are being met. Checks and finalizes all claims with action and disapproval memo. Assist in dealing with doctors concern regarding professional fees and as part of the reconciliation process for unpaid and underpaid and coordinates with Reinbursement Medical Administrator Attends to the concerns of claimants. Attends to online inquiries of external and internal clients. Reports to the AVP the concerns of clients and  Reimbursement Section Weekly review of unpaid and unprocessed bills of Reimbursement Section. Formulates strategies and action plans on how to increase and maintain member satisfaction. Accomplishes reconsideration form of all letter of appeal on denied reimbursement cases for discussion to the reconsideration committee for final review and action. Prepares quarterly ISO reports of  Reimbursement namely timely payment, action and denied reports  and quota reports Performs other tasks corollary to main objective. QUALIFICATIONS AND GUIDELINES: Graduate of Medicine/Allied Health Professional courses/ Any Business course At least  5 years  work experience and practice of profession. Excellent interpersonal and organizational skills Basic computer skills  e.g. Microsoft Office With Process management skills, people and customer relations skills You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

Other Ai Matches

Medical Claims Assessor (Hong Kong Market) - Mandarin Speaking Applicants are expected to have a solid experience in handling Job related tasks
Medical Technologist Applicants are expected to have a solid experience in handling Job related tasks
Legal Counsel Applicants are expected to have a solid experience in handling Job related tasks
（高级）经理，契约管理 Applicants are expected to have a solid experience in handling Job related tasks
Business Audit, Consultant Applicants are expected to have a solid experience in handling Consultant related tasks
Syariah Actuary Applicants are expected to have a solid experience in handling Job related tasks
Investment Chief Compliance Officer & Chief Risk Officer Applicants are expected to have a solid experience in handling Job related tasks
Senior Manager, Business & Financial Reporting Applicants are expected to have a solid experience in handling Business & Financial Reporting related tasks
Equity, Principal Applicants are expected to have a solid experience in handling Principal related tasks
Policy Owner Service, Specialist Applicants are expected to have a solid experience in handling Specialist related tasks
Middleware Platform, Consultant Applicants are expected to have a solid experience in handling Consultant related tasks
Customer Centres, Analyst (Virtual Branch) Applicants are expected to have a solid experience in handling Analyst (Virtual Branch) related tasks
Senior Manager, Business Development & Fund Advisory Applicants are expected to have a solid experience in handling Business Development & Fund Advisory related tasks
Corporate Sales Executive Applicants are expected to have a solid experience in handling Job related tasks
2026 AIA Group Office Summer Internship Program – Group Risk & Compliance Applicants are expected to have a solid experience in handling Job related tasks
Lead Analyst, Digital Distribution Solution Applicants are expected to have a solid experience in handling Digital Distribution Solution related tasks
Senior Analyst, Information Security Applicants are expected to have a solid experience in handling Information Security related tasks
Digital Experience, Principal Applicants are expected to have a solid experience in handling Principal related tasks
Operations Data Governance & Data Strategy, Senior Analyst Applicants are expected to have a solid experience in handling Senior Analyst related tasks
Bancassurance Sales, Analyst Applicants are expected to have a solid experience in handling Analyst related tasks
Actuarial - IFRS 17 Senior Manager Applicants are expected to have a solid experience in handling Job related tasks
Clinic Nurse Applicants are expected to have a solid experience in handling Job related tasks
Executive - Call Centre Applicants are expected to have a solid experience in handling Job related tasks