Medical Claims Liaison Officer
5 days ago
Job Title: Medical Claims Liaison Officer
Company OverviewHunter's Hub Inc. is a trusted name in the health insurance industry, committed to delivering high-quality service to our members. As a Medical Claims Liaison Officer, you will be responsible for facilitating effective communication between healthcare providers, patients, and our team.
Job Description- Develop and maintain strong relationships with third-party vendors, including TPAs and healthcare providers.
- Coverage analysis and approval, up to P500K, with proper escalations for amounts beyond this limit.
- Case management coordination, ensuring seamless customer experiences.
- Engage with hospitalized clients, providing meaningful services during confinement.
- Bachelor's degree in a relevant field, such as medicine or healthcare administration.
- Minimum 5 years of experience in an HMO or health insurance company, with at least 3 years in a liaison officer role.
- Excellent interpersonal and communication skills, including written and verbal abilities.
- Good presentation skills and ability to speak publicly.
- Strong networking skills and ability to build relationships with stakeholders at all levels.
- A competitive salary package, including performance-based bonuses.
- Ongoing training and development opportunities, including professional certifications.
- A collaborative and dynamic work environment, with opportunities for growth and advancement.
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