Customer Relations Officer
- Full Time
- National Capital Reg- Pasig City
- Salary As Per Industry Standard
Work Address : 5th Floor Citystate Centre, 709 Shaw Blvd., Pasig City
Job Description
- Receive calls from trunkline and hotline and answer all queries by members or callers
- Receive calls from hospitals or providers for verification of status and benefits of emergency and OPD cases
- Give approvals of emergency and OPD cases to hospitals or providers
- Check admissions on hospitals without MLO/PC
- Monitor confined members from time of admission until discharge in hospitals without MLO/ PC
- Inform or assist members or relatives to submit necessary requirements or documents prior to discharge (eg. Philhealth Forms, police report or incident report, etc.)
- Facilitate issuance of LOA to hospitals without MLO/ PC
- Coordinate and maintain a sound relationship with Providers especially to HMO Department, Billing Section and Attending Physician
- Submit regular reports like daily Admissions in hospitals, tally of calls, etc.
- Coordinate with MLO/ PC regarding admissions during night shifts and holidays
- Compute non-covered charges incurred, Philhealth and PF of doctors
- Assist in dissemination of information to providers
- Any other tasks needed to effectively fulfill the above mentioned duties.
Benefits
Company Overview
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