MediCard Phils., Inc. is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard. The competition is vast, and the benefits being offered by the competitors are tempting. However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.
MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.
MediCard is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy:
Provides support to Membership Consultants. Its function focuses mainly on ‘After Sales Service”Provides efficient service to all new and existing accounts/clients of Sales & Business Development group Provides due assistance to Membership Consultants 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:Check on quality of services of MEDICard Phils. Inc.
Deliver document/s
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:
MEDICAL OPERATIONS – concerns regarding confinement, issuance of LOA for In-patient, assistance of liaison officer and issuance of confirmation letter regarding schedule of executive check-up.
PROVIDER RELATIONS DEPARTMENT – concerns regarding accreditation of doctors and hospitals, Handles complaints on quality of service of hospitals and doctors
CUSTOMER MANAGEMENT GROUP – Handles telephone inquiries and out-patient approvals
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
MEDICAL SERVICES – Schedules APE/Pre-employment/ out-patient consultations/ wellness program
UNDERWRITING – Status of ID/membership
REVENUE MANAGEMENT DEPARTMENT- Statement of accounts or any document related to billing (requested by the client/companies), disapproved charges, accommodations, etc.
REIMBURSEMENT- Status of reimbursement
CLAIMS- Hospital billing concerns, Philhealth reimbursements, etc.
BIG- issuance of utilization report ADMINISTRATION- Status of documents delivered to client-companies, Office supplies ITMG- active members download ACCOUNTING- unused premium refund/ checks
Keep an updated and organized centralized file Performs other related tasks that may be assigned from time to time.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.