Bệnh viện việt - pháp

Mô tả Công việc

A. General purpose of the position:

- Provide best direct-billing services to patients

B. Key duties and responsibilities:

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