Hospital Liaison Officer
2 weeks ago
Key Responsibilities:
- Ensure proper monitoring of member confinements in accredited medical facilities.
- Attend to member queries, concerns, and complaints in a timely manner.
- Stay updated on current regulations and policies affecting medical services.
- Maintain company spiels and lines to entice members to approach for benefit inquiries and concerns.
- Visit admitted members to discuss coverage and benefits.
- Monitor daily member progress charts to know member needs and current medical condition.
- Assist members during discharge by checking hospital charges and professional fees to maximize benefits.
- Build and maintain good rapport with hospital administrators, HCDs, and iCare-accredited doctors.
- Assist in creating and organizing processes to ensure alignment with company policies on Health & Safety, Quality Assurance, Marketing & Brand Management, and Risk & Integrity Management.
- Ensure proper gatekeeping and utilization management through determination of member status, benefit coverage, and maximum available limit prior issuance of LOAs.
- Distribute service evaluation survey forms and ensure targeted confidence level and margin of error is met on a monthly basis.
- Receive comments, suggestions, and feedback and collate survey results.
- Assist the Provider Management Division by increasing the roster of accredited medical facilities, updating records of physicians, and coordinating with medical facilities for payment or follow-ups.
- Work with internal and external leaders in areas affecting department operations.
- Contribute to creating processes for Medical Audit and ensure proper application.
- Participate in current process review and development of new and/or revised work processes, policies, and procedures.
- Submit reports relative to duties and responsibilities.
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Hospital Liaison Officer
3 weeks ago
Iloilo City, Western Visayas, Philippines InLife Health Care Full timeJob Summary: Assure medical facility quality, manage member queries, and provide timely assistance to maximize benefits and prevent excess charges. Job Responsibilities: Monitor Confinements: Ensure proper monitoring of iCare members in accredited medical facilities. Member Support: Attend to member queries, concerns, and complaints in a...
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Liaison Officer
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Customer Service Liaison
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Customer Service Liaison
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Front Desk Officer
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Corporate Legal Advisor
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Concierge - Ayala Mall Property in Bacolod
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Customer Service Liaison
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Concierge - Ayala Mall Property in Bacolod
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Concierge - Ayala Mall Property in Bacolod
3 weeks ago
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Customer Service Liaison
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Marketing Liaison
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Lounge Attendant
3 weeks ago
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Customer Service Liaison
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Senior Client Liaison
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Customer Service Liaison
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Customer Service Liaison
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Cebu City, Central Visayas, Philippines Interactech Solutions Inc. Full timeJOB TITLE: Customer Service Representative JOB SUMMARY: As a key member of our team at Interactech Solutions Inc., the Customer Service Representative plays a vital role in ensuring that our clients and customers receive exceptional support and service. This individual will be the primary point of contact for clients, providing timely and effective...
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Senior Client Liaison
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Customer Service Liaison
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