members benef it OfficerMEDICARE PLUS, INC.

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 explains the healthcare benefit of the member
Processes and issues the letter of authorization to the member.
-Requirements- Minimum education level: Bachelor ́s Degree
1 year of experience
Language(s): English
Knowledge: Organisation, Health, Customer Support
Availability to travel: Yes
Availability of change of residence: Yes
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Members Benefit Officer
Medicare Plus Inc - Pasig, National Capital Region
Offer description
Permanent contract Full Time
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 explains the healthcare benefit of the member
Processes and issues the letter of authorization to the member
Requirements
Minimum education level: Bachelor ́s Degree
1 year of experience
Language(s): English
Knowledge: Organisation, Health, Customer Support
Availability to travel: Yes
Availability of change of residence: Yes
Yesterday
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About Medicare Plus Inc
One of the country's premier healthcare plan providers today. Started operation in 2005 under Prudential life, then on February 2012, our company changed its name to Medicare Plus, Inc.
We now have more than 500 accredited hospitals and clinics and more than 10,000 medical and dental practitioners nationwide.
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Members Benefit Officer
Pasig, National Capital Region
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