Operations Support Associate

AIA; Philippines; On-site; PHP 120,000 - 180,000; Full time

Job summary

MediCard Phils., Inc. is seeking an Operations Support Assistant to help with reconciliation, refunds, reimbursements, and query resolution. The role supports the operations team in delivering efficient service to clients and providers.

The successful candidate will assist in documentation, reporting, and ongoing process improvements under the Operations Support Lead, ensuring compliance and timely payments.

Qualifications

• High school diploma or an associate degree in accounting/finance preferred.
• Experience in collections or accounts receivable is beneficial.
• Proficiency with accounting software and MS Office required.

Responsibilities

• Reconcile financial transactions and claims with internal and external records.
• Process refunds and reimbursements in line with policies.
• Serve as help desk contact for operational/billing inquiries from clients, providers, and staff.
• Investigate and resolve queries from internal and external stakeholders.
• Maintain records of transactions and generate reports on metrics for the Operations Support Lead.
• Suggest process improvements to enhance efficiency and service quality.

Skills

Accounts receivable

Collections

Communication skills

Attention to detail

Negotiation

Education

Associate's degree in accounting, finance, or business-related field

High school diploma or equivalent

Tools

MS Office

Accounting software

Job description

Job Description:

MediCard Phils., Inc.is one of the country's leading HMOand the only HMOfounded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard. The competition is vast, and the benefits being offered by the competitors are tempting. However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCardnow boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCardis currentlylooking for assertive, dynamic and energetic individuals to fill up the following vacancy:

The Operations Support Assistant is responsible for handling key operational tasks related to reconciliation, refunds, reimbursements, and query resolution. This role is critical in ensuring smooth operational workflows, effective issue resolution, and maintaining strong relationships with both internal and external stakeholders. Reporting directly to the Operations Support Lead, the assistant helps manage the day-to-day support functions to optimize the overall efficiency of the operations department.

DUTIES & RESPONSIBILITIES

• Reconciliation: Assist in reconciling financial transactions related to claims, payments, and refunds between internal records and external entities (e.g., healthcare providers, insurers). Identify discrepancies and work with relevant teams to resolve them promptly.
• Refund and Reimbursement Processing: Review and process requests for refunds and reimbursements in compliance with HMO policies, ensuring timely and accurate payments to clients, patients, or providers.
• Help Desk Support: Serve as a first point of contact for help desk inquiries related to operational issues, including billing discrepancies, claim statuses, and general queries from clients, providers, and internal staff.
• Query Resolution: Investigate and resolve queries from both internal and external stakeholders, ensuring timely communication and effective problem-solving to maintain positive relationships and service quality.
• Documentation and Reporting: Maintain accurate records of reconciliation activities, refund/reimbursement transactions, and help desk interactions. Assist in generating periodic reports for the Operations Support Lead on operational efficiency and issue resolution metrics.
• Process Improvement: Identify areas of improvement in operational processes and assist in implementing solutions to enhance efficiency and service quality.
• Compliance: Ensure all tasks are completed in compliance with HMO policies, industry regulations, and relevant legal requirements.

MINIMUM QUALIFICATIONS

• Educational Background: High school diploma or equivalent (Associate’s degree in accounting, finance, or business-related field preferred).
• Experience: Previous experience in collections, accounts receivable, or a similar financial role is beneficial.
• Technical Proficiency: Familiarity with accounting software, collections systems, and Microsoft Office.
• Communication Skills: Strong verbal and written communication skills, particularly in handling sensitive and difficult conversations.
• Negotiation Skills: Ability to negotiate payment arrangements and manage conflict resolution effectively.
• Attention to Detail: High level of accuracy in maintaining financial records and documentation.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

Requirements: