HMO Assistant/Customer Service Representative

8 hours ago

Pulong Santa Cruz, Calabarzon, Philippines Vera. Dental Clinic Full time ₱192,000 per year

I. Job Summary

The HMO Assistant provides clerical and administrative support in processing insurance documents, verifying coverage, maintaining patient records, and preparing reports to support the HMO Coordinator. In addition, the HMO Assistant also performs Patient Care Coordinator functions by addressing patient inquiries and concerns through the clinic's official communication channels such as Facebook pages.

II. Primary Duties and Responsibilities:

1. Patient and Insurance Coordination

  • Assist in verifying basic HMO coverage and eligibility.
  • Help patients with forms, pre-authorization requests, and referrals.
  • Coordinate with receptionist and patients for scheduling and insurance requirements.

2. Claims and Documentation Support

  • Submit claims under Coordinator's supervision
  • Monitor and follow up on claim status in the database.
  • File and archive HMO-related paperwork.

3. Records Management

  • Maintain accurate logs, spreadsheets, and patient records.
  • Update insurance documents in the database/Google Sheets.
  • Ensure records are properly organized for Coordinator's review.

4. Reporting & Admin Tasks

  • Prepare draft daily and weekly reports for consolidation.
  • Provide data entry support for HMO utilization and claims tracking.
  • Assist billing department with insurance payment coordination.

5. Patient Care Coordinator Duties

  • Serve as the first point of contact for patient inquiries and concerns received through official Facebook pages and other online communication channels.
  • Answer questions regarding clinic services, HMO processes, appointment scheduling, and general concerns.
  • Escalate complex or sensitive issues to the HMO Coordinator or Asst. Sales Manager/Sales Manager or appropriate department.
  • Ensure professional, timely, and customer-oriented responses in line with clinic policies.

6. Other Functions

  • Support the HMO Coordinator in special projects or tasks.
  • Perform clerical duties as may be assigned.

QUALIFICATIONS:

  • Bachelor's Degree/College Graduate
  • OPEN to Fresh Graduate
  • Knowledge of HMO and insurance procedures
  • Strong organizational and multitasking skills
  • Excellent communication and customer service
  • Attention to detail in documentation and claims tracking
  • Familiarity with electronic medical records (EMR) and billing systems
  • Willing to be assigned at VERA DENTAL CLINIC HEAD office located at G04 San Jose Building, Sta Rosa Laguna before ALL HOME Sta. Rosa.

Job Types: Full-time, Permanent, Fresh graduate

Pay: From Php16,068.00 per month

Benefits:

  • Additional leave
  • Company events
  • Employee discount
  • Free parking
  • On-site parking
  • Opportunities for promotion
  • Paid training
  • Promotion to permanent employee

Ability to commute/relocate:

  • Santa Rosa City: Reliably commute or planning to relocate before starting work (Required)

Education:

  • Bachelor's (Required)

Language:

  • English (Required)

Location:

  • Santa Rosa City (Required)

Willingness to travel:

  • 100% (Required)

Work Location: In person

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