MASSD Department Head

Health Maintenance, Inc. (HMI); Makati; On-site; PHP 669,600 - 1,116,000; Full time

Job summary

A healthcare organization in the Philippines seeks a qualified Doctor of Medicine to manage the Medical Ancillary and Support Services Division. The successful candidate will ensure efficient claims processing, interpret relevant medical information, and oversee the timely payment of claims. Specialty trainings in Surgery, Ob-Gyne, and Pediatrics will be an advantage. Strong analytical, communication, and multitasking skills are essential for this role.

Qualifications

• Graduate of Doctor of Medicine required.
• Specialty training in Surgery, Ob-Gyne, and Pediatrics preferred.
• Knowledge of complex disease conditions and medications required.
• Strong analytical skills and attention to detail required.
• Excellent communication skills necessary.
• Proficient in MS Office tools, particularly Word and Excel.

Responsibilities

• Ensure efficient operation of Medical Ancillary and Support Services Division.
• Manage governance for accurate payment of claims.
• Keep abreast of changes in payment schedules.
• Interpret medical information relevant to claims.
• Maintain deep knowledge of division functions.

Skills

Attention to details

Analytical skills

Oral communication

Written communication

Multitasking

MS Office proficiency

Education

Doctor of Medicine

Job description

Qualifications

• A graduate of Doctor of Medicine.
• Had specialty trainings preferably in Surgery, Ob-Gyne, and Pediatrics.
• Knowledge of complex disease conditions, treatments, tests, and medications.
• With high attention to details and strong analytical skills.
• Excellent oral and written communication skills.
• Ability to multitask while working under minimal supervision.
• Computer literate with proficiency in MS Office, using MS Word, and MS Excel.

Job Description

• Ensures efficient operation of Medical Ancillary and Support Services Division management frameworks (claims processing, reimbursement processing, and underwriting).
• Manages initiatives in enabling MASSD team to define governance for the strategic processing of the accurate and timely payment of claims.
• Keeps abreast of any changes in the schedule of payments of providers.
• In-depth knowledge on the approach of Clinical cases and interpretation of medical information relevant to claims.
• Deep and solid knowledge of the overall division's functions.