北京招聘

职位描述：
岗位职责:

1. Contacts insurance companies to determine patient’s international insurance benefits. Verify patient eligibility and pre-certification requirements through On-line verification software, email or by telephone
2. Obtains requirements for claim submission and pre-certification process from insurance companies
3. Determines contract and benefit eligibility for pre-certification, prior authorization of inpatient and outpatient services
4. Works with patients in securing prepayment sources or financial agreements prior to providing service
5. Maintains the pre-certification related information in the system to ensure its accuracy
6. Verifies the coverage of benefit and asks for the payment guarantee in advance to expensive examinations for all outpatients
7. Assists patient on insurance coverage related matters
8. Responds to and follows through on patient and insurance related inquiries
9. Conducts financial screening for all inpatients (Observation, Day Surgery, Admission)
10. Coordinates and answers inpatient inquiries
11. Coordinates on discharge process, prepares itemized interim statement upondischarge
12. Maintains strictest confidentiality of patient information
13. Assists other office personnel in the performance of their duties as assigned and performs related work as required
14. Serve as liaison with the insurance company, hospital and client.
15. May also manage appeals for services denied.
16. Assists in training new employees of the Pre-certification team.

任职资格:

1. Minimum education- the completion of Junior College
2. Working experience in BJU or a similar health care organization or a business setting desired
3. Must be flexible to work third shifts
4. Additional education/experience may be substituted for experience/education
5. Excellent oral and written English
6. Independent decision making
7. Professional telephone etiquette
8. Good time management skills and must be able to prioritize
9. Must be flexible to work third shifts
10. Basic computer skills
11. Must work well under pressure and be able to work on multiple tasks simultaneously.
12. Knowledge of medical terminology and insurance industry preferred
13. Knowledge of clinic charging, coding and insurance billing procedures preferred (but trainable)

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和睦家医疗秉承现代医院管理理念，致力于为来自不同国家和地区的患者提供个性化的，高质量的，以病人为中心的医疗服务。经过多年的发展，和睦家医疗在北京、上海、广州、天津、青岛、杭州、博鳌等地设有医院和诊所，为民众提供个性化的医疗服务。全职医生共426人，来自25个国家或地区，***专家团队超过1000人，护理团队1000余人。

和睦家从建院之日起，秉承以患者为中心的理念，融合东西方医疗模式落地中国。在多年的发展历程中，和睦家没有放弃过追求极致，我们一直将质量、安全、服务作为首要达成目标。

和睦家医疗建立了以全科医疗为中心的医疗服务体系，提供覆盖全生命周期的医疗服务，包括预防保健、诊断、治疗以及康复。这样一个完备的系统，结合严谨的循证医疗实践，先进的管理经验，以及技术和设备上的不断投入，和睦家为病人带来了卓越的效果，为行业同仁设定了医疗服务的高标准。

和睦家医疗坚持不懈地追求符合甚至超越高标准的服务和质量, 连续六次高分通过了JCI认证。

United Family Healthcare (UFH) is an international hospital and clinic network that provides private, premium healthcare. UFH has led the way in private international healthcare in China. After almost two decades, UFH has established itself with hospitals and clinics in Beijing, Shanghai, Guangzhou, Tianjin, Qingdao, Bo’ao and Hangzhou as the provider of choice for those seeking premium, personalized healthcare. There are over 400 full-time doctors from 25 different countries and regions working in UFH. Additionally there are over 1000 part-time experts and over 1000 nurses on the team.

From the first day UFH came to be, we have always put patients first, drawing from the best medical models from both east and west. UFH has never veered from its path of continuous quality improvement for the sake of our patients; this includes always putting quality, safety, and service first.

With primary care as the core philosophy of our general practice, UFH has built a continuous comprehensive system that starts from preventive care and covers diagnosis, treatment, and rehabilitation. This healthcare system, combined with the employment of a strict medical standard, the adoption of proven medical management techniques, and a willingness to invest in infrastructure and technology, has allowed United Family Healthcare to achieve remarkable results for its patients and set a healthcare delivery standard for others to emulate.

UFH is constantly striving to meet and exceed worldwide service quality and patient safety standards. This level of quality is evidenced by our sixth Joint Commission International (JCI) reaccreditation.