Insurance Officer (English)/ Chuyên Viên Xử Lý Bảo Hiểm (Tiếng Anh)BỆNH VIỆN FV

General purpose of the position:
Provide best direct-billing services to patients
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 paperwork 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