URGENT!! Members Benefit Officer
URGENT!! Members Benefit Officer
JOB DESCRIPTION
- Attends inquiries and questions from providers
- Verifies and checks the member's coverage plan
- Analyzes the request of the provider for consultation and laboratory procedure if these are covered or within the parameter of the member's healthcare plan
- Advises the provider regarding the status of approval of the request
- Facilitates administration of health benefits to all HMO members or cardholders through proper coordination between the patient and the provider
- Handles all inquiries, concerns, and requests of the members relative to their health benefits
- Handles complaints and explains when the request is disapproved and assures that all concerns are answered
- Conducts orientation for corporate accounts on the benefits, inclusion, limitation, eligibility status, and processing procedures in using the HMO card
- Reviews the member's plan and utilization
- Updates members' approved utilization
- Discusses and explains the healthcare benefit of the member
- Processes and issues the letter of authorization to the member
JOB QUALIFICATION
- Preferably with at least 2 years of work experience in customer service
- Above-average communication and interpersonal skills
- Must be customer-service oriented
- Must have a keen eye for details
- Good negotiating skills
- Proficient in Microsoft Office Applications
- Must be a graduate of any business-related course
OTHER JOB REQUIREMENTS
Education
Bachelor’s Degree / College Degree
Field of study
Medical Science
Specialization
Nurse/Medical Support, Customer Service
JOB BENEFITS
WORK LOCATION
PasigCOMPANY PREVIEW
Average application processing time
Dress Code
Language
Less than 2 weeks
Dress Code
Semi-formal
Language
English
Industry
Telephone No.
Mobile No.
Company Size
Others
Telephone No.
+63 9088145869
Mobile No.
+63 9088145869
Company Size
50-100 employees
Benefits
Working Hours
Sunday
Closed
Monday
9:00 am-7:00 pm
Tuesday
9:00 am-7:00 pm
Wednesday
9:00 am-7:00 pm
Thursday
9:00 am-7:00 pm
Friday
9:00 am-7:00 pm
Saturday
Closed
COMPANY OVERVIEW
MEDICARE PLUS, INC. (MedPlus) is one of the country's premiere healthcare providers today. It boasts of over 1,270 accredited hospitals and clinics and more than 20,227 medical and dental practitioners nationwide. Its roster of clients is spread across stries from manufacturing, transport, government, NGOs, BPOs, cooperatives, manpower and professional services, among others.
Since its establishment, MedPlus remains strong amidst tough competition and dynamism in the healthcare industry. Under the leadership of its young and able management, a veteran support staff and guided by its principles, MedPlus continues to bring quality healthcare services to the Filipino nation.
WHY JOIN US?
OUR VISION is to be the leading provider of affordable healthcare services, preferred by both corporate and individual clients, accessible to every Filipino.
OUR MISSION is to help build a nation that is stronger, healthier and more secure about their future, Our business is to take care of our members healthcare requirements. We are committed in providing you:
- Professional and quality medical and dental services.
- Affordable healthcare program.
- Accessible medical and dental institutions
- Programs which promote preventive medicine.
- Innovative healthcare plans.
- Solid and stable management and customer support.