北京 [切换城市] 北京招聘北京销售行政及商务招聘北京商务主管/专员招聘

Pre-certification Officer保险审核专员(002743) (职位编号:UFH002743)

和睦家医疗

  • 公司规模:1000-5000人
  • 公司性质:合资
  • 公司行业:医疗/护理/卫生

职位信息

  • 发布日期:2017-11-15
  • 工作地点:天津-河西区
  • 工作经验:1年经验
  • 学历要求:本科
  • 职位月薪:3-4.5千/月
  • 职位类别:保险核保  商务主管/专员

职位描述

职位描述:
岗位职责:

? Direct Billing eligibility and insurance policy benefit verification
? Estimated cost calculation according to treatment plans and hospital’s pricing principle
? Communicates with patients about their payment method, clearly discussion of the deposit / guarantee status and payment plans
? Communicates and convince third party payers to obtain payment guarantee
? Provide the insurance company with information required
? Prepare inpatient census on daily basis
? Take charge of maternity payment management as assigned, which includes but not limited to accomplish monthly delivery plan, maternity package recording, maternity payment discussion initiation during patients’ first few prenatal visits, etc
? Provide financial counseling service to patient
? Clearly communication and sell package to qualified patient
? Introduce membership program to qualified patient
? Effective Internal communication and support for TJU Cashiering and Front Desk,
? Assist in Training preparation for TJU staff as needed
? Contact insurance companies to determine patient’s primary and secondary benefits
? Determine contract/benefit eligibility for pre-certification, prior authorization of IP and OP services
? Maintain strictest confidentiality of patient information
? Involve financial screening and follow up issues
? Obtain requirements for claim submission and pre-certification process from insurance companies
? Take part of Collection from patient work.
? Request medical information and send it to insurance company.
? Be backups with other assignments by the manager


任职资格:

Qualifications:
? Bachelor degree required
? Customer service experience at Healthcare/ Business Organization
? Cashiering/Financial/Billing experience required, Overseas experience preferred

Knowledge and Skills:
? Good understanding of Cashiering and DB related system
? Good skills with Microsoft office tools
? Good time management and prioritizing skills
? Language skills: fluent in both Chinese and English
? Knowledge of clinical charging, coding and insurance billing procedures preferred

职能类别: 保险核保 商务主管/专员

公司介绍

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.

联系方式

  • 公司地址:地址:span北京市