LOA Processor

Private Advertiser; Makati; On-site; PHP 223,000 - 424,000; Full time

Job summary

Private Advertiser in Makati is seeking a healthcare administrative specialist to manage LOA requests, verify HMO membership, and coordinate with hospital staff to ensure timely processing. You will maintain accurate LOA records, handle inquiries, and ensure compliance with data privacy.

The role involves cross-department collaboration with doctors, nurses, billing, and administrators. This on-site position offers exposure to healthcare operations and opportunities to streamline LOA workflows

Qualifications

• Receive, review, and process LOA requests from patients, doctors, and hospital departments.
• Verify patient HMO membership, eligibility, benefits, and coverage.
• Coordinate with various HMO providers for LOA approval, updates, and clarifications.
• Ensure that all required documents, medical requests, and supporting information are complete before submission.
• Monitor pending LOA requests and follow up with HMO representatives to avoid delays in patient services.
• Assist patients with HMO-related inquiries, concerns, and authorization requirements.
• Coordinate with doctors, nurses, billing personnel, cashiers, and other hospital departments regarding LOA status.
• Review approved LOAs to ensure that the authorized services match the requested medical procedures or consultations.
• Maintain accurate records and files of approved, denied, pending, and expired LOAs.
• Ensure proper documentation and timely submission of HMO claims and other required documents, as assigned.
• Report discrepancies, rejected requests, and unresolved concerns to the immediate supervisor.
• Maintain confidentiality of patient information and comply with data privacy regulations.
• Perform other related duties and responsibilities as assigned by the immediate supervisor.

Job description

Key Responsibilities and Duties

1. Receive, review, and process LOA requests from patients, doctors, and hospital departments.

2. Verify patient HMO membership, eligibility, benefits, and coverage.

3. Coordinate with various HMO providers for LOA approval, updates, and clarifications.

4. Ensure that all required documents, medical requests, and supporting information are complete before submission.

5. Monitor pending LOA requests and follow up with HMO representatives to avoid delays in patient services.

6. Assist patients with HMO-related inquiries, concerns, and authorization requirements.

7. Coordinate with doctors, nurses, billing personnel, cashiers, and other hospital departments regarding LOA status.

8. Review approved LOAs to ensure that the authorized services match the requested medical procedures or consultations.

9. Maintain accurate records and files of approved, denied, pending, and expired LOAs.

10. Ensure proper documentation and timely submission of HMO claims and other required documents, as assigned.

11. Report discrepancies, rejected requests, and unresolved concerns to the immediate supervisor.

12. Maintain confidentiality of patient information and comply with data privacy regulations.

13. Perform other related duties and responsibilities as assigned by the immediate supervisor.