With business certificates | Established in 1978 | 501-1000 employees
Makati, Metro Manila
Total vacancies for this job title : 3
Posted on : October 13, 2019
Job ID : 336776
Is currently looking for:
Responsible for tracking and monitoring in-patient utilization, relationship building with accredited service providers, and attending to all inquiries of healthcare members.
a. Explains the benefits and limitations of coverage to the admitted patients during confinement and assists patients upon discharge by computing chargeable expenses and facilitating Philhealth deduction.
b. Attends to all medical service availment inquiries/ concerns.
Provides assistance/ support in coordinating the schedule of Annual Physical Exam in designated clinics. Issuance of Letter of Authorization for members admitted in accredited hospitals.
e. Monitors, records data, and checks status, benefits and medical records of admitted patients.
f. Collects consultations and referral forms from plan coordinators and specialist.
g. Establishes and maintains a harmonious relationship with the coordinator, accredited physicians and significant work units of accredited hospitals/clinic.
Provides assistance/ support in conducting program orientation to hospitals, doctors and clients.
i. Conducts surveys for both provider partners and members admitted regarding services rendered by Cocolife Healthcare and partner providers.
j. Provides assistance/ support in negotiations of the healthcare business.
k. Provides assistance/ support in identifying, soliciting and servicing the Healthcare’s corporate accounts.
l. Provides assistance/support in the new hospital and clinic accreditation and orientation. And reorientation of accredited providers.
m. Provides assistance/support in orientation of new accounts.
Work Schedule: Monday- Friday/ Tuesday-Saturday/ Sunday-Thursday
College degree preferably Nursing or any medical-related courses
With experience in an HMO setting
COMPETENCIES AND SKILLS
Good written and oral communication skills
Relationship management skills
Required Manpower: 3 – NCR (To cover Mandaluyong, San Juan & Manila areas)