Essential Job Duties and Responsibilities:

Overall Purpose

Responsible for reviewing and verifying healthcare providers' credentials in the Philippines to support contract compliance and reduce fraudulent claims.

Qualifications and Requirements:

At least 1 year experience working in a medical related field.Experience coordinating medical services and communications.Graduate of any Medical Allied CourseMust be available for travel and field work at least 80% of the time.

Key Responsibilities:

Conduct physical visits to providers and verify their existence.Communicate certification process and requirements to providers.Gather information to assess fraud risk.Plan and execute provider visits strategically.Perform risk assessments before visits.Complete certification requirements and update reports in SharePoint.Submit visit results to managers and maintain confidentiality of files.

Required Skills & Knowledge

Proficient in MS Office (Excel, Word, PPT).Strong English and Filipino communication skills.Knowledge of medical terms and equipment.Familiarity with Philippine transportation and willingness to travel nationwide (field work)

Competencies

Integrity, responsibility, and strong personality.Ability to handle feedback, multitask, and stay organized.Meticulous, team-oriented, and quality-focused.Dedicated, urgent, patient, and confident.Maintains strict confidentiality.

 

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Why Join Us:

Be part of a global organization dedicated to providing exceptional medical and travel security services.Work in a dynamic and supportive environment.Opportunity to make a meaningful impact on the health and well-being of our clients.