In-House Coordinator

Health Maintenance Inc.; Makati; On-site; PHP 360,000 - 600,000; Full time

Job summary

Health Maintenance Inc. seeks a nursing professional to manage admissions, coordinate coverage with network hospitals, and process LOAs for procedures.

The role involves working with the PIC, handling discharge procedures, and ensuring accurate billing and PhilHealth compliance. Strong communication and computer literacy are essential for delivering quality member services.

Qualifications

• Requires BSN or allied health degree.
• Proficient in MS Word and Excel.
• Excellent oral and written communication skills.

Responsibilities

• Manage large volumes of inbound and outbound calls promptly.
• Deliver and render quality healthcare services to members.
• Coordinate delivery of coverage within accredited hospitals and facilities.
• Issue OPANs, referrals, and LOAs for outpatient/inpatient procedures.
• Check admissions for HMI in various hospitals.
• Monitor ward patients and daily hospital bills; review itemized charges.
• Inform patients about coverage, room limits, and PhilHealth requirements.
• Assist discharge, compute excess charges and items charged to patient.
• Coordinate with PIC regarding admissions and report progress to Hospital Operations.
• Issue LOA for Out-Patient and In-Patient availments as endorsed by head.
• Collect outpatient ledgers and hospital bills from designated hospitals.
• May perform other duties as deemed necessary by the immediate head.

Skills

BSN or allied course

MS Office

Communication skills

Education

Bachelor of Science in Nursing (BSN)

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.