Eye your future with us.

Work, learn and collaborate alongside top caliber professionals who have years of experience and knowledge hailing from diverse backgrounds.

About the Role

The Associate for Patient Benefits supports patients in maximizing their healthcare benefits,

including assisting with inquiries, processing insurance claims, verifying coverage, ensuring

accurate documentation, and facilitating compliance with PhilHealth and HMO regulations. This role provides administrative support to the Team Leader and collaborates with team members to

maintain high standards of customer service and seamless delivery of patient benefits and services.

I. PATIENT BENEFITS COORDINATION AND SUPPORT

• Provide clear and detailed explanations to patients about eye procedures such as insurance coverage, benefits, and any out-of-pocket expenses.

• Address patient inquiries regarding insurance coverage, benefits eligibility, and claims processes.

• Verify patients' medical coverage and eligibility before scheduled appointments or procedures.

• Coordinate with PhilHealth to obtain necessary pre-authorizations for cataract surgery.

• Assist patients in maximizing their benefits by identifying covered services and suggesting cost-effective alternatives when appropriate.

• Collaborate with customer service of partner HMOs and Customer and Clinical Services departments to ensure seamless integration of patient benefits with medical services.

II. HMO AND PHILHEALTH DOCUMENTATION

• Complete and submit HMO and Philhealth claim forms to Patient Benefits Finance.

• Maintain accurate and up-to-date records of all claims and correspondence with insurance providers.

• Complies with return claims requirements from HMO and PhilHealth providers.

III. PATIENT BENEFITS ADMINISTRATIVE SUPPORT

• Enter patient insurance information and benefits details into the HMO and PhilHealth tracking system.

• Coordinate with the Customer Communications and Patient Relations team to align patient appointments with insurance.

• Stay informed about changes in insurance policies and benefits.

Qualifications:

• Must have at least completed a Bachelor’s degree in any field.

• Must have at least one year of experience in HMO and Philhealth coordination

• Basic knowledge in MS Excel and Google Sheets

• Familiarity with basic medical terms, and HMO Processes

• Knowledge of International Classification of Diseases (ICD 10) Codes

• Able to focus on and manage small details to ensure accuracy.

• Able to exhibit proper bedside manners.

• Preferably with a certified ICD 10 coder

Benefits and Perks:

• Government-mandated / Statutory Benefits, including 13th-Month Pay

• Regular Dayshift

• 14th-Month Pay

• Eye Treatment Benefit including dependents

• Eyewear/Optical Benefits and Discounts including dependents

• Perfect Attendance Incentive

• HMO Coverage

• Life Insurance

• Paid Vacation Leaves convertible to cash

• Paid Sick Leaves convertible to cash

• Educational Assistance Plan for Eligible Employees

• Sponsored trainings and certifications for professional development 

• Performance-based Increase (from Annual Performance Review)

• Retirement Benefit

Your Application Journey in 4 Steps:

• Click apply or send your updated resume to [email protected]

• Hop on a call with one of our Talent Partners for a 5-minute phone screening

• Pass the interview and assessment of our leaders.

• Sign your offer agreement

Our Commitment to Diversity, Equity, and Inclusion

Asian Eye is committed to creating an organization and promoting a culture that both respect each human person’s uniqueness and foster and maintain a work environment where each colleague feels valued and supported. 

Promoting diversity means understanding that each individual is unique; to recognize and respect individual differences and invest in creating and enforcing an inclusive, safe, and engaging work environment.

In managing our relationships with our people, Asian Eye will promote diversity by adopting the following measures in accordance with related laws.