HMO Coordinator

3 days ago


Cavite City, Calabarzon, Philippines InLife Health Care Full time
Job Summary: HMO Coordinator or Member Relations Representative (MRR)/HMO Officer Our company seeks an experienced and detail-oriented individual to fill the role of HMO Coordinator or Member Relations Representative (MRR)/HMO Officer. This position requires strong communication and coordination skills to provide administrative support to the Hospital Liaison Officers Department. Job Description: Graduate of a 4-year college course, preferably in a medical allied field. Experience in insurance/HMO and value-adding services is preferred. Good communication, coordination, and negotiation skills. BPO experience handling healthcare accounts is an advantage. Flexibility to work on a project-based employment basis. Availability to work between 1:00 PM and 10:00 PM. Responsibilities:
  • Assist IHC members during their availments, ensuring proper implementation of plan policies and utilization management.
  • Provide effective and efficient administrative support to the Hospital Liaison Officers Department.
  • Maintain good rapport with IHC's designated Hospital Care Director (HCD) and accredited physicians/providers.
  • Build and maintain relationships with IHC members, hospitals, and medical facilities.
  • Monitor and coordinate catastrophic cases with superiors for case management.
  • Participate in process reviews and development of new/revised work processes, policies, and procedures.
Requirements:
  • Ability to work independently and as part of a team.
  • Strong communication, coordination, and negotiation skills.
  • Proficiency in medical terminology and concepts.
  • Knowledge of insurance/HMO policies and regulations.
  • Ability to multitask and prioritize tasks effectively.
What We Offer: * Competitive compensation package * Opportunities for professional growth and development * Collaborative and dynamic work environment

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