Clerk

3 days ago

Makati City, National Capital Region, Philippines AIA Hong Kong Full time

MediCard Phils., Inc. is one of the country's leading HMOs and the only HMO founded and run by doctors. Since its inception, MediCard has been committed to service-oriented total healthcare, offering innovative and cost-effective solutions without compromising quality.

MediCard now boasts over half a million members and more than 54,000 accredited doctors across 1,000 hospitals and clinics nationwide. It operates 16 MediCard free-standing clinics that provide hospital-level services without confinement.

MediCard is currently looking for assertive, dynamic, and energetic individuals to fill the following vacancy:

Hospital Liaison Officer

Acts as the MediCard representative in assigned hospitals. Responsibilities include:

  • Gathering admission details and documenting interactions with patients, doctors, and hospital staff.
  • Submitting reports, assisting patients before and during admission, and at discharge.
  • Implementing cost containment measures and ensuring correct coverage for members.
  • Checking for new admissions and coordinating pre-approvals.
  • Visiting members to gather health history and explaining coverage benefits and limitations.
  • Informing members about required documents and discharge procedures.
  • Monitoring patient progress and facilitating early discharge through medical management.
  • Issuing authorizations and assisting during discharge, including scheduling follow-ups and ancillary services.
  • Reviewing bills for unusual charges and endorsing final coverage.
  • Updating discharge details in the system and maintaining documentation.
  • Handling customer concerns promptly and performing additional tasks as assigned.

Provincial Inhouse Liaison Officers perform similar duties via calls, with electronic signatures or hospital staff signatures.

Key Performance Indicators (KPIs)
  • Timeliness of documentation and updates.
  • Cost containment success rate.
  • Accuracy of approvals with zero errors.
  • Quality metrics including zero complaints and adherence to SOPs.
Qualifications
  • Bachelor's degree, preferably in Paramedical courses.
  • Willing to work in a medical environment and learn medical terminology.
  • Proficient in office software and spreadsheets.
  • Ability to work under pressure and meet deadlines.
  • Excellent record-keeping, attention to detail, and communication skills.
  • Strong problem-solving and interpersonal skills.
  • Willing to work in Makati, Metro Manila, Calabarzon, or province as assigned.
  • Willing to work weekends, beyond office hours, or on a shifting schedule.
  • At least 1 year of relevant experience.

MediCard values diversity and inclusion, fostering an environment of respect and equal opportunity for all employees. We are committed to fair hiring practices and creating a workplace where everyone can thrive.

Join MediCard now Please ensure all personal data submitted is accurate and current, as incomplete or incorrect information may affect your application process.

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