Job Description - HDSI: Patient Care Officer (Mandaluyong)
The Patient Care Officer (PCO) is in charge of registration and patient data processing, such as treatment records and related health benefit or insurance information (Netsuite), coding patient diagnosis along with requests for payments from the health benefit administrator (HBA) or insurance company (HMO). Additional tasks can also be the promotion of the clinic through flyering and other related activities.
Duties and Responsibilities
Patient registration and identity validation
Patient data processing such as treatment records and related health benefits or insurance information (Netsuite)
Coding patient diagnosis along with requests for payments from the health benefits administrator (HBA) or insurance company (HMO); verifies insurance coverage and obtains approval
Promotion of clinic services to different clients and accounts (ex. flyering and other related activities)
Any task/s as assigned from time to time
Background and Qualifications
Graduate of any business-related, healthcare, or allied medical course (e.g., BSBA, BS Nursing, Health Care Services NC II)
At least 1 year of experience in billing, cashiering, or HMO processing in a clinic or hospital setting is an advantage
Familiar with common HMO processes, LOA requests, and claims submission
Basic knowledge in clinic billing systems, POS operations, and medical terminology
Proficient in Microsoft Office (Word, Excel) and electronic medical record (EMR) systems
Strong attention to detail and accuracy in handling billing records and computations
Excellent communication and customer service skills
Trustworthy, organized, and able to handle confidential information with care
Able to work in a fast-paced environment and manage multiple tasks
Willing to be assigned to clinic branches and flexible with shifting schedules, including weekends and holidays
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