We are Hiring for CCR/ Nurse, Clinic Manager, Radiology, Ultrasound Technologist, Provider Relations Officer, In-house Reliever physician, AVP - Provider Relations, Corporate Wellness Officer, Primary Care Head and Customer Care Specialist
Manila, PH
11d ago

CCR / NURSE (RN & Non RN) >

Conducts initial medical assessment of members through vital signs-taking prior to actual consultation with the Primary Care Physician >

Provides support to the Primary Care Physician during the conduct of Physical Examinations or clinic procedures

Maintains and updates records of daily consultations and procedures Radiology >

Review and evaluate developed x-rays, video tape, or computer generated information to determine if images are satisfactory for diagnostic purposes

Use radiation safety measures and protection devices to comply with government regulations and to ensure safety of patients and staff >

Collaborate with other medical team members, such as physicians and nurses Utrasound Technologist >

Produces ultrasonic recordings of internal organs, using ultrasound equipment, for use by physician in diagnosis of disease and study of malfunction of organs : >

Selects equipment for use in ultrasound setup according to specifications of examination >

Explains process to patient, and instructs and assists patient in assuming physical position for examination AVP Provider Relations >

Collaborates with IT on Provider Accounts Monitoring System, Release Monitoring System, System enhancements on the medical module, modules affecting Pay or link (for Claims and Underwriting), Finance and Claims processes, Website design, mobile applications which will improve service delivery to providers >

Reviews, analyzes, updates or creates new policies that will ensure quality Providers for Members >

Reviews, analyzes, and escalates reconciliation concerns, accomplishments, project monitoring status and other reports required by top management >

Plans out strategies to sustain the network of Providers of the company Corporate Wellness Officer >

Collaborates with the Immediate Superior in identifying, maintaining and monitoring a roster of specialty doctors for wellness lectures and lifestyle partners for wellness events and fitness instructors for the physical fitness activities >

Collaborates with the Immediate Superior in handling the corporate accounts to form their own health and wellness committee that will facilitate the implementation of the programs >

Monitors and reviews the participation of all agreed sponsors during the event, coordinates with Sales Support Team on the Wellness Activities >

Reviews and facilitates Request for Payment for Doctors, Fitness Instructors and Nutritionists Primary Care Head >

Reviews, evaluates and submits the departmental performance reports to Head Office focusing on parameters such as total number of patients seen, number of patients seen by the Primary Care Physicians and Specialists, number of tests done, length of stay and most common out-patient diagnoses

Plans, reviews, recommends, and participates during utilization management activities in the center such as case management, round table discussions with the Primary Care Physicians, Customer Care Specialists and Customer Care Representatives and feasibility studies for future PCC expansions

Analyzes, investigates and documents medical concerns from both internal and external customers which may include balance billing, hospital rate increases, credit suspension, medical coverage and non-

coverage, exceeded benefit limits, progress billing, diagnoses and problems with Medical Specialists >

Reviews, recommends, approves or disapproved requests for materials and other supplies for department use Salary : 15-18K Nurse, Clinic Manager 60-

70k, Radiology & Ultrasound Technologist 18k plus 1k transpo allowance, Corporate Wellness 23-25K >

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