Job Specifications :- Minimum Education : University degree graduate of any Allied Medical Course
Experience Required : At least one year of related work experience in an HMO industry
This job is responsible for updating and maintaining a provider network database (hospital and clinic rates of PhilCare-accredited providers) using ONE SYSTEM (encoding of service codes and service descriptions) and correspondences to providers (i.e. hospitals and clinics), requests for rates, following up the status of requested rates, receiving official documents from providers, filing provider-related documents, PSVR of services, and maintenance of provider documents (contracts, official correspondences).
- Duties and Responsibilities :
- Update and maintain accurate provider rates information in One-System (hospitals and clinics services and rates)
Tracks encoded and to be encoded data in One-System
- Provides summary of the correct data encoded to Senior Assistant Managers and accomplishments on a daily basis for monitoring
Files received documents systematically (physical folders & SharePoint)- Facilitates/coordinates sending of official correspondences to providers through email or courier regarding updated ancillary procedures and rates, packages, room rates, and other available services
Acknowledge emails related to rates requests and refer to AMs for further negotiations or encoding queuing.
- Acknowledge and process PSVR for approval of AMs
Generate/Prepare reports as requested- Performs other tasks that may be assigned from time to time
Job Type: Full-time
Benefits: Health insurance
Promotion to permanent employee
Schedule: Flextime
Supplemental Pay:
Bonus pay
Ability to commute/relocate:- Makati City: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):- What's your expected monthly salary
Education:
Bachelor's (Preferred)
