Emergency Medicine Physician

dnata Travel Group; Morong; On-site; PHP 600,000 - 900,000; Full time

Job summary

dnata Travel Group in Clark, Philippines seeks a Pre-Approval Doctor- Medical Benefits to issue pre-approvals for contracted services and confirm member cover based on eligibility and SOPs.

You will handle calls and online queries, ensuring documentation supports timely claims and approvals within defined SLAs, while upholding policy and compliance standards.

Qualifications

• Medical Degree from a recognised university.
• Current Licence to practice in the Philippines.
• 2 years post-qualification experience, preferably in Emergency Room, General Practice or Family Medicine.
• Computer literate; proficient with MS Office Suite.
• Proficiency in written and spoken English.

Responsibilities

• Action pre-approval transactions from contracted medical providers in line with SOPs and SLAs.
• Use medical training and guidelines to assess pre-approvals accurately.
• Ensure consistent application of treatment plans to confirm cover per pricing.
• Maintain system and written records to support claims administration.
• Prioritise activities according to medical urgency and contract terms.
• Reference policy accurately in all verbal and written communications.

Skills

Medical knowledge

English proficiency

Communication

Education

Medical degree

Tools

MS Office

Job description

dnata is the largest travel management organisation in the Middle East, with over 50 years of experience in the industry. Over the years, we have established successful partnerships with a range of first-class service providers, in order to offer you the best travel products in the world. Our Services range from Retail, Business, and Airline General Sales Agent Services and Destination Management.

The Pre-Approval Doctor- Medical Benefits will work within the Medical Benefits team and will be responsible for issuance of pre-approvals to medical providers for specific services mentioned in the contractual SOP. The role holder will manage telephone and system approvals and be responsible for confirming cover based on member’s eligibility, scheme terms and utilisation history.

• Applicants must be willing to work and relocate to Clark, Pampanga.
• Medical Degree from a recognised university
• Current Licence to practice in the Philippines
• Experience working in a medical insurance field is preferred
• 2 years post qualification experience, preferably in Emergency Room, General Practice or Family Medicine
• Computer literate, Proficiency in the MS Office Suite of Software. (Excel/Word/Power Point)
• Proficiency in written and spoken English.

Key Responsibilities and Accountabilities

• Action pre-approval transactions from contracted medical providers in line with agreed operating procedures and service level agreements
• Use medical training, knowledge and departmental guidelines to ensure accurate assessment of pre-approvals
• Ensure consistent application and review of treatment plans to ensure cover in line with contracted pricing
• Complete system and written administration in line with audit requirements and ensure approvals are documented in correct detail to support smooth claims administration.
• Complete activities in line with service agreements while demonstrating ability to prioritise according to medical urgency
• Ensure correct reference to policy of all communication whether verbal or in writing
• Respond to call centre phone queries/ online chat function related to coverage queries and claims in line with published protocols.