In-House Coordinator

Health Maintenance Inc.; Jaro; On-site; PHP 240,000 - 380,000; Full time

Job summary

Health Maintenance Inc. seeks a Nurse Liaison to manage member calls and coordinate coverage with the hospital network, ensuring timely, quality healthcare services. You will process OPANs, LOAs, referrals, and admissions in collaboration with physicians and hospital staff.

The ideal candidate holds a BSN or allied health degree, is MS Office proficient, and possesses excellent communication skills to support members and facilities effectively.

Qualifications

• BSN or any medical allied course.
• Proficient in MS Office (Word & Excel).
• Excellent oral and written communication skills.

Responsibilities

• Handle large volumes of inbound and outbound calls promptly.
• Deliver and render quality healthcare services to members.
• Coordinate delivery of coverage to HMI members within the network of hospitals and facilities.
• Issue OPANs, referrals, and Letter of Authorization (LOA) for outpatient and inpatient procedures.
• Check admissions for HMI in various hospitals and monitor patients' progress in the ward.
• Inform patients about coverage limits, PhilHealth requirements, excess charges, and hospital procedures.
• Assist patients who are to be discharged and compute excess charges.
• Coordinate with the Physician in Charge (PIC) regarding admissions and report progress to Hospital Operations.

Skills

Communication skills

MS Word

MS Excel

Education

BSN or allied health

Tools

MS Office

Job description

Qualifications:

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

Job Description:

• Responsible for managing large amounts of inbound and outbound calls in a timely manner.
• Delivers and render quality healthcare services to members.
• Coordinates delivery of coverage to HMI members in the accredited network of hospitals and facilities.
• Issues OPANs, referrals, and Letter of Authorization (LOA) for outpatient and in-patient procedures.

Principal Functions:

1. Responsible for checking the admissions for HMI in various hospitals.
2. Monitors patients' progress in the ward including the daily hospital bills of admitted patients and reviews itemized charges.
3. Informs patients/members of coverage as to room accommodation limits, PhilHealth requirement (if any) excess charges, etc., as well as procedurals in the hospital.
4. Assists patients who are for discharge, computes excess charges and items chargeable to patient.
5. Coordinates with the Physician in Charge (PIC) regarding admissions.
6. Calls Hospital Operations Department after making the rounds of all the patients and reports on the progress of these admissions.
7. Issues Letter of Authorization (LOA) for Out-Patient procedures and In-Patient availments, as endorsed by Immediate Head.
8. Collects outpatient ledgers of accredited physicians at designated times and collects hospital bills from certain hospitals.
9. May perform other duties as deemed necessary by the immediate head.