Mô tả công việc
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
Yêu cầu
Qualification: University graduation
Experience: At least 2 years experienced working in similar position
Skills and knowledge:
Depth knowledge of Insurance Policy, Benefit, Exclusion
Negotiation and communication
Customer Services skills
Well-organized, seft-disciplined
Ability to work under high pressure
Microsoft skills: work, excel
Foreign language(s): Fluent English (knowing French/ Japanese is an advantage)
Quyền lợi
Lương tương xứng với năng lực
Được đào tạo về chuyên môn, nghiệp vụ từ cơ bản đến nâng cao
Chế độ chăm sóc sức khỏe và các ưu đãi của FV Hospital dành cho CBNV
Ngày nghỉ phép: 16 ngày/ năm
Bảo hiểm chăm sóc sức khỏe Bảo Việt
Bảo hiểm xã hội, Bảo hiểm sức khỏe, Thưởng tháng 13, Khám sức khỏe định kỳ
Thông tin khác
Địa điểm làm việc
- Hồ Chí Minh: No. 6, Nguyen Luong Bang St., Quận 7
Thời gian làm việc
Thứ 2 - Thứ 7 (từ 08:30 đến 17:30)
thứ 2 - sáng thứ 7