Job Descriptions
Provides efficient service to all new and existing accounts/clients of Sales & Business Development group
Provides due assistance to MA-Supervisor and AVP in handling client's concerns
Prepares documents necessary during accounts renewal
Handles inquiries and/or complaints from client
Facilitates product orientation
Conducts account visits to clients/companies for the following purposes: a. Check on quality of services of MEDICard Phils. Inc., b. Deliver document/s, c. Maintain good business relations with clients
Handles all administrative requirements Of the SBD group (photocopying, routing, etc.)
Ensure on time release of documents through constant monitoring.
Coordinates with the following departments for respective concerns of the client:
a. MEDICAL OPERATIONS — concerns regarding confinement, issuance of LOA for Inpatient, assistance of liaison officer and issuance of confirmation letter regarding schedule of executive check-up.
b. PROVIDER RELATIONS DEPARTMENT — concerns regarding accreditation of doctors and hospitals, Handles complaints on quality of service of hospitals and doctors
c. CUSTOMER MANAGEMENT GROUP— Handles telephone inquiries and out-patient approvals
d. MEDICAL RECORDS — Keeps records of all out-patient availment in the Head office clinic and Mall-based clinics, processes and releases APE results done in MPI clinics
e. MEDICAL SERVICES — Schedules APE/Pre-empIoyment/ out-patient consultations/ wellness program
f. UNDERWRITING - Status of ID/membership
g. REVENUE MANAGEMENT DEPARTMENT- Statement of accounts or any document related to billing (requested by the client/companies), disapproved charges, accommodations, etc.
h. REIMBURSEMENT- Status of reimbursement
CLAIMS- Hospital billing concerns, Philhealth reimbursements, etc.
SBD 2- releases recommendation for renewal proposal and issuance of utilization report
k. ADMINISTRATION- Status of documents delivered to client-companies, Office supplies
ITMG- active members download
m. ACCOUNTING- unused premium refund/ checks
Keep an updated and organized centralized file
Performs other related tasks that may be assigned from time to time.
Job Qualifications
Graduate of any 4-year course preferably medical-related
Knowledgeable in customer service
Above average communication skills. Organized with good interpersonal relation skills. Confident in dealing with and handling various personalities. Proficient in MS Word/ Excel/ Power point. Able to handle pressure.