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 Course
• Must 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.