In-House Coordinator

Health Maintenance Inc.; Philippines; On-site; PHP 201,000 - 312,000; Full time

Job summary

Health Maintenance Inc. is seeking a healthcare liaison professional to manage inbound and outbound calls while delivering quality services to members. The role coordinates coverage with accredited hospitals, issues OPANs, referrals, and LOAs, and supports admissions processes.

The ideal candidate will hold a BSN or allied medical degree, be proficient in MS Office, and demonstrate excellent written and oral communication skills to support member needs in a hospital network environment.

Qualifications

• BSN or medical allied degree required.
• Proficient in MS Word and MS Excel; computer literate.
• 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 to HMI members in the network of hospitals and facilities.
• Issue OPANs, referrals, and LOA for outpatient and inpatient procedures.
• Check admissions for HMI in various hospitals.
• Monitor patients' progress in the ward and review itemized charges.
• Inform patients about coverage, room limits, and PhilHealth requirements and procedures.
• Assist patients for discharge, compute excess charges, and coordinate with PIC.
• Coordinate with the Physician in Charge (PIC) regarding admissions.
• Call Hospital Operations Department after rounds and report on admissions progress.
• Issue LOA for Out-Patient procedures and In-Patient availments as endorsed by Immediate Head.
• Collect outpatient ledgers and hospital bills from hospitals.

Skills

MS Office

Communication skills

Education

Bachelor of Science in Nursing

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.

Work Objectives

1. To efficiently deliver and render quality healthcare service to members.

2. To perform Liaison functions with accredited hospitals and physicians as to HMI members' utilization in the network.

3. To be able to coordinate work function with members of the department.

4. Deliver prompt, accurate, and relevant information through written and verbal correspondence.

5. Compliance with established procedures.