Full-time Email Us Onsite Concierge

at Medilink Network Inc. in Metro Manila

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Possible Task
1. Ensure that member’s benefits are discussed to the admitted members within 24 hours from the time of admission. Uncoverable items and possible excess must be highlighted.
2. Create LOA in the system. Ensure that it is updated every time there’s a movement or special instruction for the member’s availment.
3. Validates and ensure that the statement of accounts provided by the provider is complete before claims adjudication.
4. Coordinates with the providers for the needed documents/requirements in order to facilitate the discharge transactions.
5. Computes the Eligible amount for cashloading covered by the Insurance Companies based on the Final Statement of Account provided by Medilink Merchants during discharged.
6. Ensures that claims received are processed and submitted within the agreed TAT
7. Assist the providers in outpatient availments and submission of claims in the system.
8. Performs other duties and responsibilities assigned by the immediate supervisor from time to time.
9. Performs verification of coverability during member’s admission
10. Creates and updates LOA in the system
11. Performs claims adjudication during discharge
12. Serves as the liason officer for the member’s availment from admission to discharge.
13. Assist in outpatient availments
Qualifications
1. Undergraduate/Graduate of 4-year medical related course.
2. Good oral and written communications
3. Persistent, flexible, team player
4. With pleasing personality and the confidence to meet with people in the different levels of the organization
5. Can work under pressure and meet deadlines with minimum supervision
6. Proficient in written and articulate in verbal communication
7. Proficient in Microsoft Office applications
8. People-oriented and willing to extend hours just to ensure smooth availment of members.
9. Self starter and can work with minimum supervision
10. Capable to do multi-tasking activities




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Published at Dec 05, 2017
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