Clinical Liaison Specialist

4 days ago


Manila, National Capital Region, Philippines Forticare Health Systems International, Inc. Full time
About the Role

We are seeking a Healthcare Operations Coordinator to join our team. The successful candidate will be responsible for overseeing and providing approval for prior letter of guarantee, prior authorization, and letter of authorization issuance.

Main Responsibilities
  • Key Tasks:
  • Evaluate and review claims for reimbursement of healthcare accounts
  • Approve and evaluate members' utilization of healthcare benefits
  • Collect and analyze logistical, medical, and collateral histories pertaining to medical events
  • Coordinate with healthcare providers and members to determine medically necessary procedures
Requirements
  • 3+ years of post-graduation clinical medical experience
  • Healthcare managed experience is a plus
  • Duly licensed Physician
  • Full current registration to practice medicine in the Philippines


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