List of Job Vacancies


Corporate Accounts Officer


DESCRIPTION

Corporate Accounts Officer is in charge of establishing sales objectives and handle all sales activities. Their main responsibilities include preparing marketing/presentation materials, handle sales daily tasks through telephone and by customer interaction.

MAIN RESPONSIBILITIES

  • Make cold calls to corporate clients
  • Gather relevant data and information to develop a business proposal
  • Set appointment for data gathering, sales presentations and negotiations
  • Prepare and send business proposals
  • Make follow-up on proposals released

QUALIFICATIONS

  • Must be willing to work in MAKATI (Head Office)
  • Graduate of any business course
  • Must have at least one year sales and marketing experience


Hotline Representative


DESCRIPTION

The Hotline Representative is responsible for providing effective customer service for all clients and healthcare providers by using excellent, in-depth knowledge of company programs, and careful evaluation of request for approval of medically necessary procedures and availments.

MAIN RESPONSIBILITIES

  • Accurately approves hospitalizations, OPD consultations, laboratory, diagnostic and surgical procedures as recommended by our Provider Specialists
  • Promptly attends to calls made through our hotline by our Medical Providers and Clients/Members
  • Acknowledges request for confinements from our Hospital Providers and approve or disapprove accordingly
  • Monitors approved confinements until member is discharged.
  • Facilitates discharge from hospitals of our clients/members and correctly computes for approved charges
  • Issues accurate and correctly filled-out LOA to Hospitals

QUALIFICATIONS

  • Must be willing to work in MAKATI (Head Office), Shifting Hours
  • Graduate of BS Nursing, Biology, Medical Technology, Radio Technology


Claims Processor


DESCRIPTION



MAIN RESPONSIBILITIES

  • Check completeness of required documents
  • ensure that all medical for check payment request has secured proper approval.
  • prepares the check payment request within 2-7 working days TAT depending on pre-agreed term.
  • conducts routine reconciliation of outstanding accounts with providers.
  • ensure that all medical claims documents are properly filed and labeled.
  • perform other duties maybe assigned from time to time.

QUALIFICATIONS

  • must be graduate of BS Nursing, Biology, Medical Technology, Radio Technology
  • registered or not registered
  • with or without experience
  • Must be willing to work in Makati (head office), shifting hours


Company Nurse


DESCRIPTION



MAIN RESPONSIBILITIES

  • Liaise with the EASTWEST HEALTHCARE INC. and SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP. for the day to day administration of Health Plan, Insurance Coverage of SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP.
  • Report and monitor receipts of additions/deletions, covering endorsements, billing, membership IDs from the Principals, Dependents, and Extended Dependents of SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP. in close coordination with the CLINIC.
  • File and monitor the status of claims filed for reimbursement by members after pre-adjudication of claims and completeness of claim documents in close coordination with the EASTWEST HEALTHCARE.
  • Immediately report to the EASTWEST HEALTHCARE INC. any case needing immediate attention.
  • Assist the assigned Retainer Physician/in the preparation of reports to be submitted to EASTWEST HEALTHCARE INC. at a frequency and format the company may require.
  • Liaise for ANNUAL PHYSICAL EXAMS/EXEUTIVE CHECK UPS in coordination with EASTWEST HEALTHCARE, SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP. and the Retainer Physician/s.
  • Record and maintain patient’s medical data gathered during consultations and treatments.
  • Assist patient during confinement as needed including assistance in the documentation requirements necessary in hospitalization availment i.e. SSS, PhilHealth, and HMO.
  • Assist in preparation of monthly medicine budget as needed for submission to the management of SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP.
  • Perform other duties that maybe assigned from time to time by the company and/or SAMSUNG ELECTRO-MECHANICS PHILIPPINES CORP. in coordination with the EASTWEST HEALTHCARE (i.e Issuance of LOA). Please see attached Annex A

QUALIFICATIONS

  • Must be Male Registered Nurse
  • Knowledgeable in HMO process
  • Must be Graduate of BS Nursing


Private Duty Nurse


DESCRIPTION



MAIN RESPONSIBILITIES

  • Provides professional nursing care by utilizing all elements of nursing process.
  • Assesses and evaluates client’s status by reviewing and implementing the plan of care regularly.
  • Initiates and applies appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques while maintaining communication regarding client care.
  • Assist client with the daily activities.
  • Assist other client’s medical personnel such as physical therapist, occupational therapist and speech therapist in providing continuity of care.
  • Giving Peg tube feeding every four (4) hours.
  • Giving medication as prescribe by the physician.
  • Performs within the limits and preparation.

QUALIFICATIONS

  • Must be graduate of BS Nursing
  • Must be Male Nurse with the height of 5’6 ft and willing to work in Makati City


Liaison Officer


DESCRIPTION



MAIN RESPONSIBILITIES

  • Coordinates admission of EastWest member/s to various hospitals within his/her assigned area
  • Visits/Attends to admitted member/s to ensure that all medical needs are met
  • Explains members’ benefits/coverage
  • Secures all pertinent medical information and/or documents from our Provider necessary to evaluate member’s case
  • Issues Letter of Authorization to eligible/covered members
  • Computes and collects all disapproved charges including excess in room and board and professional fees, miscellaneous/personal expenses and incremental charges
  • Assists member’s discharge from the Hospital
  • Conducts regular visits to all our Providers/Partners (Coordinators, Specialists, Hospital Staffs, etc.) within their designated areas
  • Works in close coordination with the Provider Relations Team in accreditation activities
  • Assists his/her partner Claims Processor in preparing the attachments of Check Payments
  • Delivers check payments to Providers within their designated areas
  • Works in close coordination with his partner Claims Processor on matters pertaining to our Accounts with the Provider (payment posting, reconciliation, etc.)
  • Prepares weekly accomplishment reports and itemized liquidation report
  • Collates and Files medical Documents on member’s medical case

QUALIFICATIONS

  • Must be graduate of BS Nursing with PRC License ( Registered Nurse)
  • Male or Female Nurse who are willing to work in different Hospitals in the following area: Quezon City, Batangas