Liaison Officer (Reliever)

TerraBarn Inc; Cebu City; On-site; PHP 279,000 - 469,000; Full time

Job summary

TerraBarn Inc. is seeking a proactive Liaison Officer to support InLife Benefits members admitted to accredited hospitals. The role includes patient visitation, benefit verification, LOA processing, provider coordination, and documentation in MAS systems.

You will address member inquiries, handle provider concerns, review EOB/SOA for accuracy, and prepare TAM/ASR reports. Travel locally to hospitals within the assigned area is required, with regular coordination meetings.

Qualifications

• Experience in healthcare or insurance operations preferred.
• Ability to document accurately and encode in MAS system.
• Strong communication and customer service skills.
• Willing to travel for hospital visits within the assigned area.

Responsibilities

• Visit and assist confined members in assigned accredited hospitals.
• Respond to member inquiries regarding benefit coverage and medical procedures.
• Facilitate OP and IP LOA issuance and ensure proper system encoding.
• Handle and coordinate resolution of provider-related concerns and complaints.
• Assist with IP discharge computation and selected medical claims processing.
• Review EOB and Daily Statement of Account (SOA) for accuracy.
• Collect and endorse LOAs to the Claims Department.
• Encode manually issued LOAs in the MAS system within the required turnaround time.
• Submit required TAM / Activity Summary Reports (ASR).
• Attend coordination meetings and report to the office at least once a week as required.

Skills

Customer service

Healthcare/HMO knowledge

Stakeholder management

Attention to detail

Administrative skills

Hospital visits

Job description

Job Summary

The Liaison Officer provides timely and effective assistance to InLife Benefits members confined in accredited hospitals. The role involves patient visitation, benefit verification, LOA processing, provider coordination, complaint handling, and support for selected medical claims-related activities.

Key Responsibilities

• Visit and assist confined members in assigned accredited hospitals.

• Respond to member inquiries regarding benefit coverage and medical procedures.

• Facilitate Out-Patient (OP) and In-Patient (IP) LOA issuanceand ensure proper system encoding.

• Handle and coordinate resolution of provider-related concerns and complaints.

• Assist with IP discharge computation and selected medical claims processing.

• Review EOB and Daily Statement of Account (SOA) for accuracy.

• Collect and endorse LOAs to the Claims Department.

• Encode manually issued LOAs in the MAS system within the required turnaround time.

• Submit required Time and Motion (TAM) / Activity Summary Reports (ASR).

• Attend coordination meetings and report to the office at least once a week as required.

Qualifications / Skills

• Strong customer service and communication skills.

• Knowledge of healthcare/HMO processes and benefit coverage is an advantage.

• Comfortable handling member concerns and working with hospitals and healthcare providers.

• Detail-oriented and accurate in documentation and system encoding.

• Proficient in using computer systems and administrative tools.

• Willing to conduct hospital visits within the assigned area.