Healthcare Liaison Specialist
5 days ago
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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