HMO Coordinator
24 hours ago
Job Summary: The HMO Coordinator or Member Relations Representative (MRR)/HMO Officer is responsible for providing effective administrative support to the Hospital Liaison Officers Department and ensuring the proper implementation of plan policies.
Key Responsibilities:
- Assist IHC members during their availment to contribute to employee engagement and retention.
- Ensure members' queries, concerns, and complaints are attended to in a timely and appropriate manner.
- Keep abreast with current regulations and policies affecting medical services and implementation.
- Be up to date on medical updates, utilization management, newly onboarded and renewed account benefits.
- Maintain company spiels and lines that will entice members to call them regarding their benefit.
- Ensure that the member's coverage and benefits is discussed appropriately and issue the letter of authorization (LOA).
- Assist the member during their availment by checking medical facility charges and professional fees to maximize member's benefits.
- Issue LOAs and assist members for MD scheduling of appointments and other services.
- Distribute service evaluation survey forms and ensure that the targeted confidence level and margin of error is met on a monthly basis.
- Participate in current process review and development of new and/or revised work processes, policies, and procedures relating to Utilization Management responsibilities.
- Build and maintain good rapport with IHC's designated Hospital Care Director (HCD) in the hospital, IHC's roster of accredited physicians, and provider personnel.
-
HMO Coordinator
3 days ago
Province of Palawan, Mimaropa, Philippines InLife Health Care Full timeHMO Coordinator Job Description Job Summary: Provide administrative support to the Hospital Liaison Officers Department and assist insured members during their medical availments. Responsibilities: Customer Service: Assist IHC members during their medical availments Ensure members' queries, concerns, and complaints are attended to in a timely...
-
HMO Coordinator
2 days ago
Palawan, Philippines InLife Health Care Full timeJOB REQUIREMENTS:Graduate of any 4-year college course, medical allied (preferred).Experience in insurance / HMO and value-adding services preferred.Good communication, coordination, and negotiation skills.With BPO experience handling healthcare account is an advantage. Okay for project-based employment. Work assignment: North National Highway, Bgy....
-
Insurance Operations Assistant
1 month ago
Province of Albay, Bicol, Philippines Pandr Outsourcing Full timeJoin Our Team and Streamline Success - We're Hiring an Insurance Operations Assistant Job Overview: We are seeking a dedicated and proactive Executive Assistant to assist our commercial insurance agency with various administrative, secretarial, and client-facing tasks. The ideal candidate will have experience in the insurance or real estate industry, strong...