
PHIC / HMO Officer
College Graduate
Previous HMO Officer and/or PHIC officer experience is an advantage
Requirements
Interact with HMO community.
Interact with local PHIC Offices
Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to enrollees and Providers.
Process complaints, following established guidelines.
Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.
Key Responsibilities
Excellent customer relationship skills
Good communication/presentation skills (both oral and written)
Must be a team player, able to build and maintain effective and collaborative network
Must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders.