BestJobs - Jobs - HMO Clerk

    Description



  • The person handling the position is responsible in coordinating, receiving and transmittal of HMO elated concerns. Specifically the employee will take the following responsibility;

    1. Prepare lists of doctors for check payment and submit to accounting department.

    2. Review delinquent HMO accounts

    3. Issue communication letters to HMO with overdue accounts and coordinate and confirm reason for non-payment.

    4. Issue “credit hold” notification to all departments to disseminate information to suspend transactions.

    5. Update the management of the status of HMO payment and recommend suspension of HMO based on hospital policy on aging payments

    6. Posting of HMO payments in hospital Bizbox 8 system

    7. Responsible in updating doctors’ accreditation with various HMO

    8. Maintain accurate records of customer payment status.

    9. Submit monthly report and updates

    10. Collect and summarize all referrals, admissions and consultation forms from the accredited doctors regularly

    11. Prepare and submit statement of account to affiliated HMO regularly

    12. Coordinate with HMO Offices to facilitate new accreditation and distribute contracts to all interested medical practitioners for affiliation

    13. Review corporate report to ensure accuracy of billing codes.

    14. Responsible in overseeing all client authorizations from the Health Maintenance Organization

    15. Communicate with the referral source when needed.

    16. Maintain excellent customer service relationships

    17. Maintain client record confidentiality at all times

    18. Perform other related task which may be assigned

    • Requirements

  • Minimum education level: Bachelor´s Degree
  • Language(s): Tagalog ,English
  • Knowledge: Microsoft Excel, Microsoft PowerPoint, Microsoft Word
  • Availability for travel: Yes
  • Availability for change of residence: Yes

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Job summary

  • HMO Clerk

  • Laguna, Calabarzon

  • Company

    ST. JOHN THE BAPTIST MEDICAL CENTER, INC.

  • Work type

    Permanent contract

  • Type of contract

    Full Time

  • Apply
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