Ensure smooth insurance-related processes including verifying coverage obtaining pre-authorization and managing claims
Act as a liaison between the hospital, insurance companies, and patients to ensure timely payments, accurate billing and claims processing
Communicate and coordinate with insurance companies to resolve billing inquiries, discrepancies and expedite claims
Collaborate with other departments to streamline processes and improve efficiency on direct billing operational protocol
Provide guidance, training and support to the department on insurance protocols and adherence to best practices
Provide recommendations on new agreement and agreement renewal with potential / existing business partners
Participate in various projects on the development, maintenance and enhancement of operations systems.
Work with the team to facilitate the Budget Estimation.
Participate in departmental planning, quality improvement plan and analysis.
Support department / management by gathering, analyzing, formatting data into clear and actionable reports, and complaint handling.
Organize and attend meetings with insurance companies for addressing / resolving operational issues, accelerating claims processing, and building mutual trust.
Perform other duties as assigned
Requirement
University graduate or above.
5 years of health care or medical insurance experience, preferably in provider relations nature
Strong organization skills in maintaining and managing direct billing protocol and operation.
With solid experience in service industry and customer service
Demonstrate strong communication, customer service, interpersonal, time management, decision-making and problem-solving skills.
Attention to details and excellent follow through on work tasks.
Able to multi-task and work under pressure.
Demonstrate proactive initiative and willingness to accept responsibilities.
Proficiency in both spoken and written English and Chinese, including Mandarin.
Proficiency in MS Office - Word, Excel, PowerPoint etc.
