Customer Service Representative

Health Maintenance Inc.; Philippines; On-site; PHP 335,000 - 469,000; Full time

Job summary

Health Maintenance Inc. seeks a patient-focused nurse coordinator to manage high volumes of inbound and outbound calls, provide guidance on coverage, and oversee hospital admissions coordination with the PIC and network facilities.

The role emphasizes clear communication, accuracy in billing-related matters, and collaboration with medical staff to ensure quality member service.

Qualifications

• BSN or medical allied degree is required.
• Proficiency in MS Word and MS Excel.
• Excellent oral and written communication skills.

Responsibilities

• Handle large volumes of inbound and outbound calls promptly.
• Explain coverage and PhilHealth requirements to members.
• Coordinate admissions with PIC and hospital staff.

Skills

Excellent communication

Customer service

Verbal & written communication

Education

BSN or medical allied degree

Tools

MS Word

MS Excel

Job description

About the role

Responsible for managing large amounts of inbound and outbound calls in a timely manner. Delivers and renders quality healthcare services to members. Coordinates delivery of coverage to HMI members in the accredited network of hospitals and facilities.

Key responsibilities

• Issues OPANs, referrals, and Letter of Authorization (LOA) for outpatient and in-patient procedures
• Checks admissions for HMI in various hospitals
• Monitors patients' progress in the ward including daily hospital bills of admitted patients and reviews itemized charges
• Informs patients/members of coverage regarding room accommodation limits, PhilHealth requirements, excess charges, and hospital procedures
• Assists patients who are for discharge, computes excess charges and items chargeable to patient
• Coordinates with the Physician in Charge (PIC) regarding admissions
• Calls Hospital Operations Department after making rounds of all patients and reports on progress of admissions
• Collects outpatient ledgers of accredited physicians at designated times and collects hospital bills from certain hospitals
• May perform other duties as deemed necessary by the immediate head

About you

• Bachelor of Science in Nursing (BSN) or any medical allied course
• Computer literate with proficiency in MS Office, MS Word and MS Excel
• Excellent oral and written communication skills