Temporary Medical jobs

Key Responsibilities:

HMO Membership Management

• Process enrollment, delisting, reinstatement, and updates of crew members in the HMO program.
• Maintain an accurate and updated HMO master list for all active and inactive members.
• Coordinate with the broker and HMO provider to confirm status changes, ensure correct coverage dates, and validate member eligibility.
• Monitor timelines to ensure new joiners and sign offs are processed promptly.

Coordination with Broker and HMO Provider

• Serve as the main point of contact for the broker regarding membership updates, corrections, and clarifications.
• Ensure that the broker’s master list matches the company’s records and resolve discrepancies immediately.
• Follow up on pending enrollments, delisting, approvals, and billing updates.
• Elevate unresolved issues to the Supervisor or Manager when needed.

Billing and Financial Coordination

• Coordinate with the broker and provider to ensure accurate billing based on the updated membership list.
• Review monthly or periodic HMO billing statements and verify correctness before submission to Finance.
• Clarify any billing inconsistencies or disputed charges with the broker or provider.
• Maintain proper documentation for billing and audit trail purposes.

Member Support and Communication

• Respond to HMO related inquiries from crew members regarding coverage, benefits, requirements, and status of their enrollment.
• Provide clear guidance on HMO usage, including clinic access, benefit limits, and required documentation.
• Escalate complex or sensitive crew concerns to the Manager for further action.
• Assist in coordinating medical appointments if HMO assistance is required.

Documentation and Reporting

• Keep detailed and organized records of all membership updates, broker communications, and billing documents.
• Prepare weekly or monthly HMO updates for internal reporting.
• Support the preparation of HMO utilization reports or analysis when required.

Requirements:

• Bachelor's Degree Graduate
• Preferably with at least 1–2 years’ experience in HMO coordination, insurance administration, or related support role
• Good communication skills, both written and verbal
• Customer oriented with the ability to assist crew members professionally
• Strong administrative and coordination skills
• Ability to work with brokers, providers, and internal teams
• Proficiency in Microsoft Office and claims/HMO related systems

Benefits:

• Flexible schedule
• Health insurance
• Staff meals provided

Experience:

• HMO processing: 1 year (Required)

Work Location: In person