HMO STAFF - MANDALUYONG

Be part of our growing TEAM!

We are looking for goal-oriented individuals to fill in the HMO Staff Role.

JOB DESCRIPTION

• Manages utilization by thorough probing of medical history and status of members, redirecting them to cost-efficient providers as necessary, scrutinizing hospital billing statements, and properly advising them before issuing approval codes for the appropriate laboratory/ diagnostics requests.
• Correctly and professionally instructs client on the proper procedure of availing their benefits within 24 hours of confinement.
• Thoroughly attends to member’s inquiries and concerns and extends professional and courteous customer service assistance to all clients and providers
• Conducts regular visits to accredited hospitals, clinics and other accredited health facilities as conditions would permit.

QUALIFICATIONS:

• Candidate must possess at least Bachelor's/College Degree in Nursing or any medical allied courses. Business courses are also accepted
• Must have good communication and interpersonal skills.
• Ability to multi-task while working under minimal supervision.
• Computer literate with proficiency in MS Office using MS Word and MS Excel.
• Mondays-Fridays, 8:00 am- 5:00 pm
• Project based employment for 1 year.

VALUE CARE HEALTH SYSTEMS, INC. offers a meaningful experience to every employee from day 1 of their journey with the company.

Job Types: Full-time, Contract

Experience:

• Customer service: 1 year (Preferred)

Willingness to travel:

• 100% (Preferred)

Work Location: In person