Experience working with provider networks or hospital billing departments.
Ability to make quick and accurate decisions under time pressure.
Familiarity with cost containment strategies, compliance requirements, and fraud detection.
English proficiency for reading and understanding medical documents.
When You Join Our Team
You will be empowered to learn, grow, and build the career you aspire to.
You will be supported in a flexible environment that values well-being and inclusion.
As part of our global organization, you will have opportunities to contribute to shaping a future that matters to you.
About Manulife and John Hancock
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html .
Manulife is an Equal Opportunity Employer
Working Arrangement
Hybrid
Benefits
Health insuranceFlexible schedule
Additional Information
Position Responsibilities
1. Reimbursement Responsibilities
Review and assess reimbursement claim submissions to ensure accuracy and compliance with policy guidelines.
Validate supporting documents such as invoices, medical records, and prescriptions.
Calculate eligible reimbursement amounts and identify exclusions or non-covered items.
Escalate suspicious or high‑risk claims following fraud detection protocols.
Maintain accurate documentation and ensure adherence to SLA/TAT requirements.
2. Direct Billing Responsibilities
Handle direct billing requests from hospitals and clinics, verifying eligibility and benefit coverage.
Review and approve pre‑authorization for medical services based on policy rules and medical necessity.
Communicate with providers to clarify treatment plans and negotiate cost adjustments when required.
Monitor inpatient cases to control medical expenses and prevent misuse.
Record decisions in the system and coordinate with back‑office teams for settlement.
Required Qualifications
2-3 years of experience in healthcare claims assessment, reimbursement, or direct billing.
Basic knowledge of medical services, insurance benefits, and medical terminology.
College or university degree in Healthcare, Nursing, Insurance, or related fields.
Strong communication and analytical skills; proficiency in MS Office and claims workflow systems.
Manulife · Dist.7, Ho Chi Minh