Inpatient Services Supervisor

1 day ago

Makati, Metro Manila, Philippines Maxicare Healthcare Corporation Full-time ₱279,000 - ₱446,000 Contract

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Minimal to zero supervision to review, evaluate, and process Letters of Authorization (LOA) following established procedures and professionally explain coverage and non-coverage details during Member’s Availment Guide (MAG) discussion with admitted members.
Analyze escalations and address concerns related to internal and external partners regarding eligibility, coverage (professional fees, miscellaneous &, etc.), and procedures within the standard turn-around time.
Offer first-hand solutions for captured complaints and endorse them to internal departments (MRG, UEF, Sales) as necessary.
Offer and steer members to the Maxicare Primary Care Networks, Preferred Partners, and Low-Cost Facilities, while highlighting Maxicare's exclusive benefits including recommended packages, and assisting members in understanding the available services.
Works directly with the immediate superior in meeting the team and company’s common goal. Prepare and submit reports ensuring that data is accurate and comprehensive.
Execute various campaigns and tasks as needed during manpower shortages, business continuity planning (BCP) events, or when Service Level (SL) for other teams or sub-units are critically low, ensuring operations remain smooth and responsive to immediate demands.