HMO Benefits Specialist
Hive Health
full-time
Posted on:
Location Type: Hybrid
Location: Ortigas • 🇵🇭 Philippines
Visit company websiteJob Level
Mid-LevelSenior
About the role
- The HMO Benefits Specialist serves as the key interface between members, healthcare providers, and the HMO teams.
- The role is responsible for accurate processing of member availments, issuance of Letters of Authorization (LOAs), timely call handling, and efficient coordination of inquiries and cases to ensure high-quality service delivery.
Requirements
- Must be willing to work hybrid in Ortigas
- Must be willing to do occasional night shifts
- Familiarity with medical indications for adjudication
- Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
- Willingness to conduct hospital visits
- Proficient problem-solving abilities
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical indications for adjudicationprocessing member availmentsissuance of Letters of Authorization
Soft skills
problem-solvingcommunicationcollaborationadaptabilityownership mentalitygrowth mindsetresults-driven