Internal Medicine Specialist | Makati

Makati City, Metro Manila
Permanent
Full-time

15 days ago

MedGrocer's digitally-enabled "medicine-as-a-service" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.The Internal Medicine Specialist addresses medical case escalations. They coordinate with stakeholders to verify and resolve HMO claims.Key Responsibilities

Assess medical cases to evaluate coverage of HMO benefits and segregation of Maximum Benefit Limits (MBL)
Coordinate with health providers and fellow medical resource specialists to resolve HMO claims escalations
Audit voice and video consults for quality checks and appropriateness of care
Provide recommendations to improve training materials, simplify system processes for escalation, and streamline intake forms and outputs
Provide monthly and quarterly reports on volume, types, channels, and sources of escalations
Attend telehealth calls for patients as needed

Perks and Benefits

Hybrid work set-up
Flexible schedule

Must be a Diplomate of Internal Medicine;
Sub-specialization and hospital affiliation is an advantage;
Proficient in computer applications such as Google Workspace;
Must be willing to attend onsite training in Makati

Entry Level / Junior, Apprentice Health and Medical Hospital / Health Care 1 opening Bachelor's degree graduateMedGrocer's digitally-enabled "medicine-as-a-service" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.

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