Qualifications

• A graduate of Bachelor of Science in Nursing (BSN) or any medical allied course.
• Computer literate with proficiency in MS Office, using MS Word and MS Excel.
• Excellent oral and written communication skills.

Job Description

• Responsible for managing large amounts of inbound and outbound calls in a timely manner.
• Delivers and render quality healthcare services to members.
• Coordinates delivery of coverage to HMI members in the accredited network of hospitals and facilities.
• Issues OPANs, referrals, and Letter of Authorization (LOA) for outpatient and in-patient procedures.

Principal Functions

• Responsible for checking the admissions for HMI in various hospitals.
• Monitors patients' progress in the ward including the daily hospital bills of admitted patients and reviews itemized charges.
• Informs patients/members of coverage ...