Medical Referral Services Coordinator

3 weeks ago

Metro Manila, Philippines TakeCare Asia Philippines, Inc. Full time

Job Specifications:

Graduate of Bachelor’s Degree in any health-related field.Experience with providing warm and pleasant customer service while assisting walk-in members regarding issues and concerns such as but not limited to eligibility, benefit administration, claims, billing reimbursements is preferred.Effective team player with excellent interpersonal relationship skills and can work and relate well with co-employees, patients and customers.Must have the behavioral sensitivity, maturity, diplomacy and tact in addressing complex situations and handling irate customers.Outstanding oral and written communication skills.Strong ethics and a high level of personal and professional integrity.Must have basic familiarity on laws and requirements relating to healthcare management.Computer literate and proficient in using MS Office programs.

Duties and Responsibilities:

I. Medical Referral Office Services

Greets and assists walk-in members.Handles and documents check-in of walk-in members on log-sheet.Assists walk-in members connect with the right department and/or individualsAnswers incoming calls and directs them accordingly.Forwards inquiries and concerns to appropriate staff/departments (e.g. other Medical Referral Office staff, Medical Management, Claims, Customer Service, MAS, Sales, etc.) or providers (e.g. doctor’s clinics, hospital departments, etc.)Secures appointments for members related to their off-island referral.Accompany members to providers’ clinics for their consultations and to departments within the provider facilities for various medical services and procedures. Provides offsite letters of authorization to members for services not requiring prior authorization.Provides assistance and support to members throughout the admission and discharge process for inpatients.Computes and explains member’s financial responsibility by reviewing statements of account.Provides customer support throughout the care coordination including but not limited to any of the following concerns: Authorization (including Off-Island),Eligibility, Benefit Administration, Referrals,Appointments,Claims, Billing, Reimbursements, Plan Deductible, Referrals (status & process), Insurance Coverage, Coordination of BenefitsServices available, Network Providers/Access, Medical RecordsAppealsGrievancesProvides assistance to member for concerns related to off-island travel, transportation, accommodation, etc.Provides benefit information to members to facilitate understanding of benefit coverage, plan limitations and exclusions.

II. Administrative Support

Collects updated membership information from walk-in members.Updates and maintain member walk-in, phone, and email inquiry demographics on a weekly basis.Updates and organizes member files.Regularly inputs member-related information into the company’s digital database.Provides administrative support related to Medical Referral Office functions.Performs other duties that may be assign from time to time.

 

 

  • Fax Intake/Referral Coordinator

    1 week ago

    Metro Manila, Philippines iSupport Worldwide Full time

    Be a part of our fast-growing team and unchain all the possibilities! What is your mission?You will provide the best service to our partner brands by performing these tasks:Check/Run real-time eligibility for current insurance(s)Responsible for initiating contact with insurance companies via Internet, phone, or fax for verification or referral for...

  • Fax Intake/Referral Coordinator

    1 week ago

    Manila, National Capital Region, Philippines iSupport Worldwide Full time

    Be a part of our fast-growing team and unchain all the possibilitiesWhat is your mission?You will provide the best service to our partner brands by performing these tasks:Check/Run real-time eligibility for current insurance(s)Responsible for initiating contact with insurance companies via Internet, phone, or fax for verification or referral for outpatient...

  • Medical Review Specialist

    2 weeks ago

    Metro Manila, Philippines TakeCare Asia Philippines, Inc. Full time

    Job Specifications:Graduate of Bachelor’s Degree – RN License is required.Minimum of 2 years experience and must have impressive track record in reviewing treatment plans and services to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources.Effective team player. Excellent interpersonal skills.Must...

  • Customer Service Associate

    4 weeks ago

    Metro Manila, Philippines The Medical City Full time

    At The medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country’s young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world’s best when it comes to...

  • Medical Coordinator | Makati

    3 weeks ago

    Metro Manila, Philippines MedGrocer Full time

    MedGrocer's digitally-enabled ""medicine-as-a-service"" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.The Medical Coordinator oversees daily...

  • Medical Review Specialist

    1 week ago

    Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full time

    Job Specifications:Graduate of Bachelor's Degree – RN License is required.Minimum of 2 years experience and must have impressive track record in reviewing treatment plans and services to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources.Effective team player. Excellent interpersonal skills.Must...

  • Medical Coordinator

    3 weeks ago

    Manila, National Capital Region, Philippines MedGrocer Full time

    MedGrocer's digitally-enabled ""medicine-as-a-service"" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.The Medical Coordinator oversees daily...

  • Medical Coordinator

    3 weeks ago

    Manila, National Capital Region, Philippines MedGrocer Full time

    MedGrocer's digitally-enabled ""medicine-as-a-service"" platforms are used by hundreds of employers and pharma companies. Our end-to-end medicine/vaccine programs, telehealth services, and onsite medical staff serve a million Filipinos every year. MedGrocer is one of the more established Filipino Health Tech startups.The Medical Coordinator oversees daily...

  • International Healthcare Services Supervisor

    1 week ago

    Metro Manila, Philippines Manila Doctors Hospital (Manila Medical Services Inc.) Full time

    Job SummaryResponsible in handling the day-to-day operations of the International Healthcare Services Concierge by ensuring the needs of the international patients are being taken cared of from end to end ensuring to provide a personalized assistance and exceptional customer service.Specific Tasks:Handling international patient inquiries Coordination with...

  • Social Worker

    2 weeks ago

    Metro Manila, Philippines Manila Doctors Hospital (Manila Medical Services Inc.) Full time

    Responsible for the direct implementation and monitoring of the School Health Adoption Program (S.H.A.R.E.D.) composed of seven (7) elements in collaboration with the Department of Pediatric Medicine. Coordinate with the Department of Out-Patient Services along with the seven (7) medical training departments for the efficient delivery of out-patients...

  • Customer Service Associate

    3 weeks ago

    Manila, National Capital Region, Philippines The Medical City Full time

    At The medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country's young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world's best when it comes to...

  • Customer Service Associate

    4 weeks ago

    Manila, National Capital Region, Philippines The Medical City Full time

    At The medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country's young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world's best when it comes to...

  • Head- Medical Support Services

    1 week ago

    Metro Manila, Philippines Lockton Philippines Insurance & Reinsurance Brokers Inc. Full time

    Qualifications & experienceQualified candidate must be a Doctor of Medicine with at least 5 years work related experience.Proficient in Microsoft OfficeTasks & responsibilitiesManages clinics through medical staff attendance monitoring, patient outcome audit, quality assurance, corporate clinics utilization review and analysis, and employees’ health risk...

  • Pharmacist

    2 weeks ago

    Metro Manila, Philippines The Medical City Full time

    At The medical City, we bridge the gap between Filipinos and health services. An ambitious mission, and to achieve it we need the bright minds of our country’s young leaders. Young leaders who are willing to inspire a generation and take on the challenges we are faced today. The Medical City seeks to be the home of the world’s best when it comes to...

  • Assessment Nurse

    3 weeks ago

    Manila, National Capital Region, Philippines SuperCare Medical Services Full time

    Assessment Nurse - Manila OfficeDATE POSTED: DESCRIPTIONSChecks daily PEME/follow upsAnswers inquiries regarding examinees medical status and findings arising from the medical examinationsPrepares appropriate referrals to specialists and for procedures done outside the clinicAids in the facilitation of the flow of patients in the different medical...

  • Employee Referral Program Channel Lead/Specialist

    3 weeks ago

    Manila, National Capital Region, Philippines Shearwater Health Full time

    Employee Referral Program Channel Lead/Specialist Business/Systems Analysts (Information & Communication Technology) The primary role of a Sourcing Associate/Specialist is to manage and activate hiring campaigns from a sourcing channel to deliver leads conversion to hires. The person is responsible for building talent pipelines and maintain talent...

  • Client Care Coordinator

    2 weeks ago

    Metro Manila, Philippines P2 Home Care Solutions LLC Full time

    OVERVIEW:The Client Care Coordinator is responsible for facilitating care coordination services for individuals receiving care from P2’s clients in need of enhanced care coordination services. Ensuring that individuals will receive timely, high-quality, and efficient health care and support services through the development of a multidisciplinary care plan,...

  • Medical Coder

    2 weeks ago

    Metro Manila, Philippines ESOL IT SERVICES INC. Full time

    Location: Cubao, Quezon CitySchedule: Morning or Mid ShiftWork Set Up: OnsiteIdentified candidates can have any of the following skillset:Review inpatient medical records and accurately assign ICD-10-CM and PCS codes for diagnoses and procedures.Assign and sequence codes in compliance with official guidelines for coding and reporting.Demonstrate in-depth...

  • Physician Relations Representative

    2 weeks ago

    Metro Manila, Philippines St. Luke's Medical Center Remote Work Freelance Full time

    The Physician Relations Representative acts as a liaison between the Medical Center and its affiliated physicians. He/she will focus on building and maintaining strong relationships with physicians to enhance collaboration, improve patient referrals, and support organizational growth.Act as the primary contact for physicians regarding organizational updates...

  • Manager for Ancillary Services

    3 days ago

    Metro Manila, Philippines UERM Memorial Medical Center Full time

    JOB DESCRIPTION:Manage the appropriate staffing in accordance with unit requirements, including individual staff performance setting, monitoring, and evaluation;Collaborates with other groups to ensure the smooth conduct of operational activities of the revenue units; Implements continuous improvement initiatives for all ancillary services units;Coordinates...