3. MEMBER RELATIONS ASSISTANT

Job RequirementsGraduate of BS in Nursing, Physical Therapy, or any medical-allied courses Preferably with PRC License Excellent interpersonal relation skills and can relate with all levels of people Computer literate Has a good eye for details
General Job Description Accomplishes Request for Assistance (RFA) for walk-in and phone-in requests: a. Verifies membership status b. Checks Summary of Payments (SOP) and payment status c. Determines nature of requests (e.g. consultation, outpatient diagnostic procedure, therapeutic procedure, emergency care, or elective admission) d. Determines which health care provider the member will avail his benefit with e. Checks Waiver of Coverage (WOC) and medical declarations. Reports significant information to proper authorities (concealment) f. Makes sure all information required to satisfy the RANC/CHAMFIT is included in the RFA Submit duly accomplished RFA for approval of the Member Benefits Supervisor/Medical Manager Prepares the necessary Cari...