Healthcare Liaison Specialist

5 days ago


Quezon City, National Capital Region, Philippines Romil Anunciado Full time

Job Description

We are seeking a highly skilled Registered Nurse to join our team as a Healthcare Liaison Specialist. In this role, you will be responsible for liaising with the COMPANY and CLIENT for the day-to-day administration of Health Plans, Insurance Coverage, and Dental Programs.

Key Responsibilities:

  • Report and monitor receipts of additions/deletions, covering endorsements, billing, membership IDs from the Principals, Dependents, and Extended Dependents of CLIENT in close coordination with the COMPANY.
  • File and monitor the status of claims filed for reimbursement by members after pre-adjudication of claims and completeness of claim documents in close coordination with the COMPANY.
  • Immediately report to the COMPANY any case needing immediate attention.
  • Assist the COMPANY assigned Retainer Physician/in the preparation of reports to be submitted to the COMPANY at a frequency and format the company may require.
  • Liaise for ANNUAL PHYSICAL EXAMS/EXEUTIVE CHECK UPS in coordination with the COMPANY, Client, and the Retainer Physician/s.
  • Assist retainer physician/s during consultation i.e. taking of vital signs, giving oral and parenteral medications as prescribed by the retainer physician/s.
  • Dispense clinic medicine as needed as medically necessary under guidance by the retainer physician/s.
  • Assist in the emergency treatment of cases requiring urgent need for medical attention under the guidance by the retainer physician/s.
  • Record and maintain patient's medical data gathered during consultations and treatments.
  • Assist patient during confinement as needed including assistance in the documentation requirements necessary in hospitalization availment i.e. SSS, PhilHealth, and HMO.
  • Perform other duties that maybe assigned from time to time by the company and/or Client in coordination with the company.


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