HMO Technical Officer
Our Lady of Lourdes Hospital
- Manila, Philippines46 P. Sanchez St., Sta. Mesa, Manila, Manila, Metro Manila, PhilippinesManilaMetro ManilaPhilippinesPhilippines
- Full timeFULL_TIME
Job closed.
Job Description
- Maintain an updated file of all HMOs. That includes policies and procedures on availment of diagnostic and medical services, doctor’s professional fee, list of accredited doctors, etc.
- Facilitate Medical Staff Accreditation on respective HMOs.
- Distribute accreditation forms and collects all pertinent documents as required by the HMO.
- Coordinate with the Secretary of the Asst. Medical Director for the list of newly hired medical staff who might want to be accredited by respective HMOs.
- For Out-Patient (OPD) Cases, receives members ID for verification, inform ID holder of affiliated doctors with their specialization and refer cardholder to chosen doctor and schedule them for appointment if necessary.
- For Admission/In-Patient (IPD), receive the order sheet and member’s ID for verification, check patient’s coverage and notify company guarantor then assist the patient at the Admission dept. for proper documentation.
- Facilitate credit and collection. Receive original copy of referral form and constantly follow-up HMO payment.
- Encode report, memos and correspondence concerning HMO.
- Prepare monthly statistical report on HMO utilization.
- Performs other tasks that may be assigned from time to time.
Minimum Qualifications
- Graduate of Nursing
- At least 2 years experience as Liason Officer
- Strong analytical and planning skills;
- Good communication and presentation skills;
- Excellent problem-solving skills;
Jobs Summary
- Job Level
- Associate / Supervisor
- Job Category
- Health and Medical
- Educational Requirement
- Bachelor's degree graduate
- Recruiter response to application
- Always
- Office Address
- 46 P. Sanchez St., Sta. Mesa, Manila, Manila, Metro Manila, Philippines
About Our Lady of Lourdes Hospital
For 68 years, Our Lady of Lourdes Hospital Manila (OLLH) has been one of the country’s top medical institutions. In 2010, the Servarum Spiritus Sancti (SSpS) entered into a 20-year lease with East Manila Hospital Managers Corp. (EMHMC), a subsidiary of Metro Pacific Investments Corp. Since then, EMHMC has achieved and expanded to becoming a tertiary hospital with 182-bed capacity, equipped with the latest medical technology, and the honor of being PhilHealth’s Center of Excellence in Healthcare.
In 2015, EMHMC’s 5th Anniversary, OLLH – EMHMC simultaneously unveiled and launched its newest hospital wings and patient centers to cater to the needs of the growing number of patients.
Specialized wings were built and redesigned for quick recovery with the hospital’s new St. Martin Pediatric Wing, St. Jude Internal Medicine Wing, St. Therese Maternity Wing, St. Anthony Medical Wing, and St. Vincent Surgical Wing. The Hemodialysis Center was also launched with a 27-seater treatment facility, equipped with the most advanced technology, boasting the newest hemodialysis machines and on-line hemodiafiltration machines, operating with double-pass reverse osmosis, passing the standards of the Department of Health. While the Oncology and Hematology Unit
were rebuilt to give its patients a more vibrant and cozier feel as they undergo treatments.
As OLLH – EMHMC continues its journey to transformation, the patients and every family are assured to experience service excellence, promoting holistic healing across generations.