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* General purpose of the position:
- Process claims for sending Insurance Company
- Provide/update additional information required by the companies if any
- Collaborate with Billing group to collect payment
* Key duties and responsibilities:
* Claim & payment follow-up
- Collect invoices and check key information to ensure correct information before processing claims. Information to be checked: patient’s signature, company name, charges, price, company name, etc.
- Complete and collect all required claims documents following requests of every insurer / company.
- A completed claims will be sent along with a payment request to insurance provider / company within the expected time regulated by line manager.
- Update status of claims sent to Insurance provider / company on Orion.
- Follow-up with insurance provider / company to ensure they receive the sent claims.
- Any questions or requests related to claims sent to Insurance provider / company must be follow-up and provided at soonest after checking and having feedback from related people/ department.
- Collaborate with Billing group to collect payment.
* Strengthen relationship with insurance providers
- Work with insurance provider in professional, straight forward, supportive and respected manner.
- All requests and addressed issues from insurance provider must be careful investigated and response as quickly as possible to insurance provider / company.
- Well understanding insurance policy and insurance products that provide the best explanation to insured patients.
- Any issue related to working process must be reported in order Manager work with insurance provider / company for consist and better process.
* 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 claims.
- 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 Claims services.
- Back-up for direct-billing and Claims team if required.
