Nurse Professional

About the Job

We are seeking a skilled Nurse Professional - Health Plan Administration to join our team at Sourcetechnologiesolutionsinc. This role is responsible for the day-to-day administration of health plans, insurance coverage, and dental programs in coordination with clients and company officials.

Duties and Responsibilities

The ideal candidate will be responsible for the following tasks:

• Liaising with clients and company officials to manage health plan administration, including claims processing and membership ID management.
• Monitoring and reporting on receipts of additions/deletions, endorsements, billing, and membership IDs from clients and dependents.
• Filing and monitoring the status of claims filed for reimbursement by members after pre-adjudication and completeness of claim documents.
• Reporting any cases requiring immediate attention to company officials.
• Assisting retainer physicians in preparing reports to be submitted to the company.
• Liaising with clients and retainer physicians for annual physical exams and executive check-ups.
• Assisting retainer physicians during consultations, taking vital signs, administering medications, and dispensing clinic medicine as medically necessary.
• Providing emergency treatment under the guidance of retainer physicians.
• Recording and maintaining patient medical data gathered during consultations and treatments.
• Assisting patients during confinement, including documentation requirements for hospitalization.

Requirements

To be successful in this role, you must have:

• A Registered Nurse degree.
• A Bosh Training Certificate.

Estimated Salary

The estimated salary for this position is PHP 60,000 - PHP 80,000 per month, depending on experience and qualifications.