Application Form

Medical Concierge

Responsibilities:

  • Attends inquiries and questions from providers
  • Verifies and checks the member’s coverage plan
  • Analyzes the request of the provider for consultation and laboratory procedure if these are covered or within the parameter of the member’s healthcare plan
  • Advises the provider regarding the status of approval of the request
  • Facilitates administration of health benefits to all HMO members or cardholders through proper coordination between the patient and the provider
  • Handles all inquiries, concerns, and requests of the members relative to their health benefits
  • Handles complaints and explains when the request is disapproved and assures that all concerns are answered
  • Conducts orientation for corporate accounts on the benefits, inclusion, limitation, eligibility status, and processing procedures in using the HMO card
  • Reviews the member’s plan and utilization
  • Updates members’ approved utilization
  • Discusses and explain the healthcare benefit of the member
  • Processes and issues the letter of authorization to the member


Qualifications:

  • Must be a graduate of any MEDICAL ALLIED course (Nursing, Biology, Physical Therapy, Rad Tech, Pharmacy, etc)
  • Preferably with at least 1 year of work experience in customer service or in an HMO company
  • Above-average communication and interpersonal skills
  • Must be customer-service oriented
  • Must have a keen eye for details
  • Good negotiating skills
  • Proficient in Microsoft Office Applications
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