hmo clerk
2 weeks ago
An HMO clerk in a hospital acts as a liaison between patients, the hospital, and health insurance providers. Key duties include verifying patient insurance coverage, processing claims and forms, coordinating appointments and procedures, and helping patients understand their benefits. They also handle administrative tasks like maintaining member files and managing inquiries related to health benefits. Core duties
- Patient services: Assist patients with inquiries about their HMO benefits, explain procedures, and help with the paperwork for their appointments and treatments.
- Insurance and billing: Verify patient coverage, process claims, and resolve any billing issues related to the HMO.
- Coordination: Schedule appointments and coordinate with other hospital departments to ensure the patient receives proper care.
- Administration: Maintain organized and updated files on all HMOs, including policies, accredited doctors, and professional fees.
- Liaison: Act as a central point of contact between the hospital and the HMO, handling communication and ensuring adherence to insurance policies.
Required skills and qualifications
- Strong organizational skills and attention to detail.
- Excellent communication and interpersonal skills, both verbal and written.
- Proficiency with computers, including electronic health records software, and general office applications.
- Ability to handle a high volume of administrative tasks and work under pressure.
- Knowledge of medical terminology is often required, as is prior experience in a healthcare setting.
Job Types: Full-time, Permanent, Fresh graduate
Pay: From Php17,000.00 per month
Benefits:
- Discounted lunch
- Employee discount
- Free parking
- On-site parking
- Paid training
- Promotion to permanent employee
Work Location: In person
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