Requirements:
Must b a graduate of an allied medical courseExperience in customer service is an advantageWilling to work onsiteMonitors, assesses and e
valuates members’ availment of services ba
sed on stipulated coverage of the account while obtaining, collecting, collating, processing, and reviewing all patient data information from the attending doctors, nurses, patients, charts, and other sources of information necessary in adjudicating coveragePrepares, collates, and secures pertinent docu
ments and files related to inpatient availments of Maxicare membersCreates, reviews, approves or disapproves, issues, and updates letters of Authorization according to approved authority limitsMo
nitors and updates billing of members as necessary analyzes and computes for possible excess charges that may be incurred by members if applicable, and endorses coverage to provider accordingly
Maxicare Healthcare Corporation is the no.1 health maintenance organization (HMO) in the country. It was established in 1987 by an esteemed group of doctors with a vision to provide a better healthcare delivery system. For 25 years, Maxicare has been providing peace of mind through quality healthcare programs and unsurpassed levels of service to top corporations, industry leaders, small and medium enterprises, individuals and families across the country.
Maxicare is a member of the Equicom Group, a diversified conglomerate engaged in the areas of information technology, computer services, banking, financial and leasing services, and healthcare. The proven leadership and solid reputation in the business of the moving force behind the Equicom Group have equipped Maxicare to continuously deliver the best healthcare service possible boosting its position as the leading HMO in the country.
History
Milestones:
1987- Group of Doctors from Makati Medical center and a few Businessmen established Maxicare with a vision for a better
healthcare for the company
1997- PCIB CIGNA entered into a joint venture with Maxicare to expand operations in the Philippines therefore changing the
company name to maxicare PCIB CIGNA Healthcare Corporation
2002- A merger with Equitable bank changed the company name to Maxicare EPCIB Healthcare
Maxicare also launched the flexiclaims system
2003- Name was change tio Maxicare Healthcare Corporation
2004- Maxicare reached its 1 Billion sales
Maxicare opened its Primary Care Center in the Medical City
2005- Maxicare launched its intelligent cards
Maxicare partnered with Medilink Inc to use POS terminals in hospitals and clinics for quick validation of membeship
status.
Maxicare opened its Cebu Sales office
Maxicare opened Primary Care Centers in St Lukes Medical Center and Cebu Dictor's Inc
2006- Equitable PCIB merge with BDO
Maxicare opened Delos Santos Medical Center PrimaryCare Center
2007- Maxicare launched its premium and platinum cards
Maxicare was acquired by Pin-An Holdings of the Antonio Go Group of Companies.
2008- Maxicare opened its Filomena Primary Care Center located in AMkati City
2009- Maxicare opened its 8th Primary Care Center in My Health Clinic, Festival Super Mall, Alabang, Muntinlupa City
2010- Maxicare opened Primary Care Centers at St Luke's Medical Center - Global City and Quezon City, My Health Clinic- Robinson's Cybergate (Cebu)
Product & Services
Full HMO Comprehensive Health Program
Premium based program which includes In-Patient Care, Out-Patient Care, Annual Check-Up, Emergency Care and Preventive Care (Wellness Campaigns, Immunization Programs, Health Counseling and Family Planning Counseling)
Administrative Service (ASO) Program
Founded type of healthcare program applicable for companies with over 300 employees whrein only actual usage of healthcare is paid for, without sacrificing the advantages of a regular healthcare program.
Unbundled In-Patient Program
Consists of standard In-Patient benefits only
Unbundled Out-Patient Program
Consists of standard Out-Patient program
Individual and Family Plans
Small Group Plans
International Emergency Assistance