LIAISON OFFICER - HMO

ValuCare Health Systems, Inc.; Philippines; On-site; PHP 246,000 - 357,000; Full time

Job summary

ValuCare Health Systems, Inc. in Cebu is seeking a diligent nurse or medical allied professional to support utilization management, advise on cost-efficient providers, and process approval codes for labs and diagnostics.

You will help clients understand benefits and provide courteous service to members and providers. The ideal candidate holds a nursing or allied health degree, communicates well, and can multi-task while under minimal supervision.

Qualifications

• Bachelor's/College Degree in Nursing or medical allied fields.
• Good communication and interpersonal skills.
• Ability to multi-task while under minimal supervision.
• Computer literacy with MS Word and MS Excel.

Responsibilities

• Manages utilization by probing medical history and status of members.
• Instructs clients on proper benefits procedures within 24 hours of confinement.
• Attends to member inquiries with professional customer service to clients and providers.
• Conducts regular visits to accredited hospitals, clinics and health facilities.

Skills

Communication

Interpersonal skills

Multi-tasking

MS Office

Education

Bachelor's/College Degree in Nursing or medical allied

Tools

MS Word

MS Excel

Job description

Job Description

• - Manages utilization by thorough probing of medical history and status of members, redirecting them to cost-efficient providers as necessary, scrutinizing hospital billing statements, and properly advising them before issuing approval codes for the appropriate laboratory/ diagnostics requests.
• - Correctly and professionally instructs client on the proper procedure of availing their benefits within 24 hours of confinement.
• - Thoroughly attends to member's inquiries and concerns and extends professional and courteous customer service assistance to all clients and providers
• - Conducts regular visits to accredited hospitals, clinics and other accredited health facilities as conditions would permit.

Job Qualifications

• - Candidate must possess at least Bachelor's/College Degree in Nursing or any medical allied courses. Business courses are also accepted
• - Must have good communication and interpersonal skills.
• - Ability to multi-task while working under minimal supervision.
• - Computer literate with proficiency in MS Office using MS Word and MS Excel.
• - With experience working in a hospital or clinical setting.
• - Willing to be assigned to different clinics/hospitals within Cebu.
• - Mondays-Fridays, 8:00 am- 5:00 pm and Saturdays, 8:00 am - 11:00 am