HMO Staff, Laguna

URGENT HIRING!

HMO Staff/Officer that facilitates all HMO approval for ER, In-Patient Department, and Out-Patient Department.

Principal Functions

• Provide exceptional service and care to patients
• Accommodate and respond to patient inquiries with health cards and company guarantee letter
• Process requests for consultation and procedures
• Coordinate with accredited HMOs and companies' approval of requested procedures, card verification and related requests
• Receive and check referral slips/Letter of Authorization and relevant documents of the patient, promptly process transactions, and endorse to immediate supervisor for review
• Endorse charge slips and pertinent supporting documents promptly to Credit and Collection
• Update HMO files of patients, record and store properly

Other related functions

• Performs other related tasks as assigned or delegated by the immediate superior.
• Coordinate with other departments and staff to facilitate proper endorsement of patients
• Communicate with physicians and other clinical staff to ensure that patient documentation has complete and accurate information
• Be updated with the latest HMO memorandum and circulars
• Complies to 5S, Internal quality and customer care standards, policies and procedures.
• Practices the CORE values of the company

Qualifications

• University degree in a relevant medical or allied course
• Knowledge of the Health Maintenance Organization (HMO) industry