Inpatient Liaison Supervisor

Job Title: Liaison Officer
Department: Operations Fulfillment
Division: Operations Division
Reports to (Position of Immediate Superior) : Supervisor, Inpatient Services
Supervises (Positions of Subordinates) : None
Primary Job Responsibility
Accountable for accurately implementing the members' healthcare benefit policies and the delivery of superior customer services for In-Patients

I.job Description
Duties and Responsibilities done at PERIODIC or REGULAR Intervals

• 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 coverag e
• Visits, revisits, contacts, discusses and ensures that inpatient members understand the limits and scope of their insurance benefits
• Creates, reviews, approves or disapproves, issues and updates Letter of Authorization according to approved authority limits
• Monitors and updates billing of member as necessary, analyzes and computes for possible excess charges that may be incurred by members if applicable and endorses coverage to provider accordingly

B.Duties And Responsibilities Done At IRREGULAR Or INTERMITTENT Intervals

• Coordinates and establishes rapport with affiliated doctors and hospital staff & attends scheduled meetings
• Reviews, resolves, escalates and responds to queries on members' availing of services
• Reviews and reports concerns of affiliated doctors and hospital staff to the Immediate Superior

C.STANDARD RESPONSIBILITY STATEMENTS

• Strives to embody, commits to support and deliver the Management System policy, objectives and initiatives of the organization;
• Communicates, engages, directs and supports people to contribute to the Management System effectiveness;
• Demonstrates commitment to customers by ensuring applicable statutory and regulatory requirements are determined, understood and consistently met;
• Abides by the Management System policies and procedures for the effective management and control of its processes; and
• Promotes and utilizes the Process Approach and Risk-based Thinking at work.
• Performs other RELATED functions that may be assigned BY THE IMMEDIATE SUPERIOR

II.JOB SPECIFICATIONS A. SKILLS 1. EDUCATIONAL REQUIREMENT
MINIMUM educational level and background required by this POSITION: College Graduate of 4, 5 year-course, preferably: Allied Medical Course
2. EXPERIENCE AND TRAINING
PERIOD OF TIME OR LENGTH of related experience the CANDIDATE must acquire before being assigned to and perform the functions of this job,

SATISFACTORILY under NORMAL supervision: Fresh Graduate - Less than 3 years

• SKILLS REQUIREMENT – TECHNICAL (For Tech and Business Support, Supervisory and Professional) Skilled or specialized: proficiency is gained thru wide experience in a SPECIALIZED or TECHNICAL area B. RESPONSIBILITY 1.ACCOUNTABILITY – ASSETS, CASH, EQUIPMENT Value or worth of company assets (cash, checks, financial instruments, investments, tools, materials, machinery, equipment, and supplies) this POSITION is accountable for: Small - below P500, 000 SPECIFY ASSETS, CASH AND EQUIPMENT DIRECTLY ACCOUNTED FOR: Tablet, Mobile Phone 2.ACCOUNTABILITY – RECORDS AND DOCUMENTS Level of CONFIDENTIALITY AND IMPORTANCE of the information, records, reports, and documents prepared, maintained, has access to, and handled by this POSITION Routinely, Low - Contents are of general nature; knowledge by others is NOT INIMICAL; disclosure may not have apparent effect on the company

RECORDS AND DOCUMENTS DIRECTLY ACCOUNTED FOR: Shared Documents
3.NEED FOR SUPERVISION
EXTENT of work supervised or managed by the Immediate Superior, whether the job is limited or diversified; quantify range of activities, VARIETY of tasks to be carried out, and the DIVERSITY of the problem to be solved Follows established procedures generally; refer only unusual cases to superior
4.PEOPLE MANAGEMENT
Number of subordinates this POSITION DIRECTLY supervise: None
5.CONTACTS – INTERNAL AND EXTERNAL
EXTENT the work required in making personal contacts inside and outside of the organization, level of importance of contacts; FREQUENCY they are made; LEVEL OR DEGREE they involve exchanging information, dealing with people, exerting influence, persuading them to take action, etc. Broad, Significant

C. EFFORT 1.PHYSICAL EFFORT
USUAL POSITION at work of this JOB considering energy needed and exerted to satisfactorily perform the job Standing is done most part of the day
2.MENTAL EFFORT
AMOUNT OF THINKING to analyze problems; develop and evaluate solutions to given problems Patterned - Requires a PLAIN understanding of PROGRAMMED steps to arrive at solution; with similar situations requiring solution by only discriminating choice of learned things

D. WORK CONDITIONS 1.JOB ENVIRONMENT
STATE of surrounding and physical conditions under which the JOB must be satisfactorily accomplished Comfortable MOST OF THE TIME in an: Air-conditioned, well-lighted, clean, quiet, conducive room
2.SAFETY AND EXPOSURE TO HAZARDS, RISKS, DANGER
Hazards, risks or danger POSITION is exposed to in job performance, DESPITE safety measures provided Exposure to few disagreeable elements is less than 25% of the time