Insurance Officer
Công ty Công Ty Cổ Phần VHRS
Hồ Chí Minh, Việt Nam
7 ngày trước
source : Talent Network

Mô tả công việc

A. General purpose of the position : Mục đích chung của vị trí này

  • Provide best direct-billing services to patients
  • B. Working relationships / Quan hệ làm việc :

    1. Department / Phòng / Khoa : Patient Finance and Insurance

    2. Report to / Báo cáo cho : Insurance Team Leader

    3. Supervisory role / Vai trò giám sát :

    4. Interaction with / Liên hệ với : - Internal / Nội bộ : All FVH’s Departments- External / Bên ngoài : Patients, Customers, Companies

    C. Key duties and responsibilities / Nhiệm vụ và trách nhiệm chính :

    Direct billing for insured patients

  • Consult and explain to patients about insurance and direct billing procedures
  • Daily check list of patients who have insurance, collect and update insurance information
  • Follow-up and collect medical information to contact insurance for Guarantee of Payment (GOP)
  • Update coverage confirmation on HIS notes, via email, telephone, etc. for related people
  • Check charges for case by case confirmation on direct-billing coverage
  • Follow-up patient charges to ask for extension of GOP if the charges exceeds previous GOP (s)
  • Keep related people be updated on coverage and exclusions
  • Claim & payment follow-up

  • Collect and check invoices to ensure patient signature, charges, price, company name, etc. are correct before process claims
  • Complete claim forms and supported document
  • Make payment request with all the completed claim set and send to companies including insurance providers and corporations
  • Provide / update additional information required by the companies if any
  • Collaborate with Billing group to collect payment
  • Strengthen relationship with insurance providers

  • Work with insurance provider with professional, straight forward and respected manner
  • All requests and addressed issues from insurance provider are careful investigated and response as quickly as possible to insurance provider
  • Well understanding insurance policy and insurance products that provide the best explanation to insured patients
  • Claim documents always completed and full of required information as expected
  • Direct-billing Help Desk and others

  • Response to all enquiries concerning direct-billing services of insurance & corporate
  • Receive and solve all kinds of complaints concerning insurance.
  • Get all claim paperworks completed for pay-and-claim insured patients.
  • Provide supporting document for claim requested by insurance for non direct-billing cases.
  • Assist front-line team in dealing with issues related to insurance and direct-billing services.
  • Do tarmac access and support for evacuation services
  • Advise non-insured patients on insurance companies & products insurance products
  • Yêu cầu công việc

    B. Requirements / Yêu cầu :

    1. Qualification / Trình độ chuyên môn : University graduation

    2. Experience / Kinh nghiệm : At least 2 years experienced working in similar position.

    3. Skills and knowledge / Kiến thức và kỹ năng :

  • Depth knowledge of Insurance Procedure
  • Negotiation and communication
  • Customer Services skills
  • Well organized, seft-disciplined
  • Ability to work under high pressure
  • Microsoft skills : work, excel
  • 4. Foreign language(s) / Ngoại ngữ : Fluent English (knowing French is an advantage)

    Phúc lợi

    Bảo hiểm theo quy định, Thưởng, Chăm sóc sức khỏe, Đào tạo, Tăng lương, Chế độ nghỉ phép

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