HELPRO SERVICE COOPERATIVE is looking for:LIAISON OFFICER for MAXICARE CEBU
(Apple One Tower and Robinsons Cybergate, and Mandaue City, Cebu Office)
Job Description:
- Monitors, assesses, and evaluates members’ availment of services based on stipulated coverage of the account while obtaining, collecting, collating, processing, and reviewing all patient data information from the attending doctors, nurses, patients, charts, and other sources of information necessary in adjudicating coverage
- Prepares, collates, and secures pertinent documents and files related to inpatient availments of Maxicare members
- Creates, reviews, approves or disapproves, issues, and updates Letter of Authorization according to approved authority limits
- Monitors and updates billing of members as necessary analyzes and computes for possible excess charges that may be incurred by members if applicable, and endorses coverage to provider accordingly
- Visits, revisits, contacts, discusses and ensures that inpatient members understand the limits and scope of their insurance benefits