Liaison Officer

Overview MediCard Phils., Inc. is one of the country\'s leading HMO and the only HMO founded and run by Doctors. MediCard has focused on service-oriented total health care. MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide, plus 16 MediCard free-standing clinics offering services at par with hospitals minus confinement. MediCard is currently looking for assertive, dynamic and energetic individuals to fill the following vacancy: Responsibilities Responsible for personalized medical services given to clients on arranged healthcare packages such as Executive Check Up (ECU), clients admitted to hospitals, etc. Checks for newly admitted members with the admitting section of each assigned hospital and checks the ER for possible admissions from time to time (if ER visits are allowed by hospital for Field LO). Informs the Team Leader of all admitted members and possible admissions if applicable, as well as requests for preapproval received with all the necessary details; discusses the appropriate cost containment measure to be applied to the case. Field LO visits the member to obtain history of present illness and other pertinent information and explains to the admitted members the benefits and limitations of coverage. Provincial Inhouse LOs accomplishes this through call. Liaison Officers inform the member of the required documents and discharge process of the hospital. Gathers information about the member\'s availment from patient charts and the attending physician or coordinator; monitors progress of the course in the ward to determine early opportunities for discharge and ensure medical necessity. Issues letter of authorization for admitted members at the assigned hospital for each covered availment and has the member sign the LOA. Coordinates the applied cost containment measure with the attending physician to update progress and recovery and facilitate earlier discharge; addresses concerns of admitted members as needed. Assists admitted members during discharge and offers services such as scheduling follow-ups, home service, pharmacy service, telemedicine, etc. Reviews the itemized bills to check for unusual charges and endorses final coverage; handles disapproved charges with the hospital. Updates all discharge details in MIMS and attaches pertinent documents in the shared folder with claims upon discharge. Accomplishes progress notes daily and signs them duly by the patient. Sends location updates to Team Leader when transferring between hospitals; sends daily itinerary to TL. Performs other tasks as assigned from time to time. Minimum Qualifications Graduate of a 4-year medical course With or without experience Willing to undergo training in Makati and do fieldwork EEO and Hiring Practices At MediCard, we believe that diversity and inclusion are essential to fostering innovation, collaboration, and growth. We are committed to creating a workplace where everyone, regardless of gender, race, ethnicity, age, sexual orientation, disability, or any other characteristic, feels valued and empowered to contribute their unique perspectives and talents. Our inclusive hiring practices ensure that we attract, hire, and retain the best talent from all backgrounds. We strive to provide equal opportunities for all candidates and promote a culture of respect, fairness, and transparency. We are dedicated to continuously improving our processes and policies to eliminate biases and barriers, ensuring that every employee has the support and resources they need to thrive. MediCard is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Join MediCard You must provide all requested information, including personal data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date. #J-18808-Ljbffr