In-House Coordinator

Health Maintenance, Inc. (HMI); Makati; On-site; PHP 279,000 - 391,000; Full time

Job summary

A healthcare service provider in Metro Manila is seeking a professional to manage calls and deliver quality healthcare services. Responsibilities include coordinating coverage for members, assisting with hospital admissions, and ensuring compliance with established procedures. Applicants should have an education in nursing or a related medical field, excellent communication skills, and proficiency in MS Office. This role is crucial for maintaining the effectiveness of healthcare delivery.

Qualifications

• 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.

Responsibilities

• Manage large amounts of inbound and outbound calls in a timely manner.
• Deliver quality healthcare services to members.
• Coordinate delivery of coverage to HMI members in the accredited network of hospitals and facilities.
• Issue OPANs, referrals, and Letter of Authorization (LOA) for procedures.
• Check admissions for HMI in hospitals and monitor ward progress.
• Inform patients about coverage, room limits, and PhilHealth requirements.
• Assist discharge, compute excess charges, and itemize charges.
• Coordinate with PIC regarding admissions and report progress to Hospital Operations.
• Perform other duties as deemed necessary by the immediate head.

Skills

Excellent oral and written communication skills

Proficiency in MS Office

Education

Bachelor of Science in Nursing (BSN) or any medical allied course

Tools

MS Word

MS Excel

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

• Responsible for checking the admissions for HMI in various hospitals.
• Monitors patients' progress in the ward including the daily hospital bills of admitted patients and reviews itemized charges.
• Informs patients/members of coverage as to room accommodation limits, PhilHealth requirement (if any) excess charges, etc., as well as procedural details in the hospital.
• 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 the rounds of all the patients and reports on the progress of these admissions.
• Issues Letter of Authorization (LOA) for Out-Patient procedures and In-Patient availments, as endorsed by Immediate Head.
• 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.

Work Objectives

• To efficiently deliver and render quality healthcare service to members.
• To perform Liaison functions with accredited hospitals and physicians as to HMI members' utilization in the network.
• To be able to coordinate work function with members of the department.
• Deliver prompt, accurate, and relevant information through written and verbal correspondence.
• Compliance with established procedures.