HMO/Insurance Coordinator

HR Network Inc.; Lapu-Lapu; On-site; PHP 290,000 - 424,000; Full time

Job summary

HR Network Inc. in Cebu is seeking a competent HMO/Insurance Coordination Specialist to support patient and provider inquiries and to coordinate with hospitals and doctors for timely service.

You will assist with LOA and LOA-related requests, verify medical and insurance documentation, and maintain accurate records of transactions while providing updates to members on benefits and coverage.

Qualifications

• Coordinate with patients, hospitals, doctors, and HMOs on member concerns.
• Assist with LOA/LOA-related requests, approvals, and documentation.
• Facilitate processing and verification of medical/insurance requirements.
• Coordinate with hospital departments to ensure timely service.
• Monitor pending requests, approvals, and patient concerns.
• Maintain records and reports of transactions and requests.
• Provide updates to members on HMO benefits and coverage.

Responsibilities

• Coordinate with patients, hospitals, doctors, and HMOs on member concerns.
• Assist with LOA/LOA-related requests, approvals, and documentation.
• Facilitate processing and verification of medical/insurance requirements.
• Coordinate with hospital departments to ensure timely service.
• Monitor pending requests, approvals, and patient concerns.
• Maintain records and reports of transactions and requests.
• Provide updates to members on HMO benefits and coverage.

Skills

Coordination

Documentation

Customer service

Education

Bachelor's degree

Job description

Responsibilities:

• Coordinate with patients, hospitals, doctors, and HMO/insurance providers regarding member concerns and requests
• Assist with LOA/LOA-related requests, approvals, and documentation
• Facilitate the processing and verification of medical and insurance requirements
• Coordinate with hospital departments to ensure smooth and timely service
• Monitor and follow up on pending requests, approvals, and patient concerns
• Maintain accurate records and reports of transactions and requests
• Provide assistance and updates to members regarding their HMO benefits and coverage

Qualifications:

• Bachelor’s degree graduate (Medical-related course is an advantage)
• With 3 years of experience in HMO or Insurance
• Willing to work in a hospital setting
• Able to work independently and manage tasks efficiently
• Can work immediately