MediCard Phils., Inc. is one of the country's leading HMO and the only HMO founded and run by Doctors. Since its inception, the concept of service-oriented total health care has been the molding ideal of MediCard.  The competition is vast, and the benefits being offered by the competitors are tempting.  However, MEDICard has taken the lead in providing innovative and productive ideas that cut down the cost of health maintenance without compromising its quality.

MediCard now boasts of more than half a million members and over 54,000 accredited doctors in over 1,000 hospitals and clinics nationwide. It also operates 16 MediCard free-standing clinics that provide services at par with those offered by hospitals minus the confinement.

MediCard is currently looking for assertive, dynamic and energetic individuals to fill up the following vacancy:

The Referral Desk Associate is responsible for managing and coordinating the referral process for patients, ensuring that all referrals are processed efficiently and accurately. This role involves extensive interaction with healthcare providers, patients, insurance companies, and other stakeholders to facilitate seamless transitions of care. The Referral Desk Associate must possess strong communication and organizational skills and a keen attention to detail.

Key Responsibilities:

Referral Management:

Process incoming referrals from healthcare providers promptly and accurately.
Coordinate with insurance companies to obtain necessary authorizations and approvals.
Schedule appointments for patients with specialists or other healthcare providers as required.
Ensure all necessary patient information, medical records, and referral documentation are transmitted correctly.

Patient Interaction:
Communicate with patients to explain the referral process and address any questions or concerns.
Provide clear instructions to patients regarding follow up appointments and any necessary preparations.
Maintain patient confidentiality and handle sensitive information with care.

Coordination with Healthcare Providers:
Liaise with physicians, specialists, and other healthcare providers to ensure timely and accurate referral processing.
Follow up on pending referrals and ensure that all necessary information is obtained for patient care.
Update healthcare providers on the status of referrals and any issues that may arise.

Documentation and Record Keeping:

 Maintain accurate and up to date records of all referrals in the system.
 Ensure that all documentation complies with regulatory requirements and organizational policies.
Generate reports on referral activities and outcomes as required.

Customer Service:
Provide excellent customer service to patients, healthcare providers, and other stakeholders.
Handle inquiries and resolve issues related to referrals in a timely and professional manner.

Compliance and Quality Assurance:
Adhere to all organizational policies, procedures, and regulations related to referral processing.
Participate in quality improvement initiatives related to the referral process.
Stay updated on changes in healthcare regulations and insurance requirements that may impact referrals.

Qualifications:

High school diploma or equivalent; additional education in healthcare administration or a related field is preferred.
Previous experience in a healthcare setting, particularly in referral coordination or patient scheduling, is highly desirable.
Strong knowledge of healthcare systems, insurance processes, and medical terminology.
Excellent communication and interpersonal skills.
Proficient in using electronic health records (EHR) systems and other healthcare software.
Ability to manage multiple tasks simultaneously and work efficiently under pressure.
Strong organizational skills and attention to detail.

MediCard is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.