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Pre-cer Officer保险审核专员(003120) (职位编号:003120)

广州和睦家医院有限公司

  • 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:2020-03-18
  • 工作地点:广州-海珠区
  • 招聘人数:1人
  • 工作经验:大专
  • 学历要求:招1人
  • 语言要求:不限
  • 职位类别:保险核保

职位描述

岗位职责:

Summary of Responsibilities:
Obtains authorization for admission. Conducts financial screening.

Responsibilities: (This list may not include all of the duties assigned)
? Contacts insurance companies to determine patient’s primary and secondary benefits
? Obtains requirements for claim submission and pre-certification process from insurance companies
? Determines contract and benefit eligibility for pre-certification, prior authorization of inpatient and outpatient services
? Works with patients in securing prepayment sources or financial agreements prior to providing service
? Maintains the pre-certification related information in the system to ensure its accuracy
? Verifies the coverage of benefit and asks for the payment guarantee in advance to expensive examinations for all outpatients
? Assists patient on insurance coverage related matters
? Responds to and follows through on patient and insurance related inquiries
? Conducts financial screening for all inpatients (Observation, Day Surgery, Admission)
? Coordinates and answers inpatient inquiries
? Coordinates on discharge process, prepares itemized interim statement upon discharge
? Maintains strictest confidentiality of patient information


任职资格:

Qualifications:
? Minimum education- the completion of Junior College
? Working experience in GZU or a similar health care organization or a business setting desired
? Must be flexible to work third shifts
*Additional education/experience may be substituted for experience/education

Skills:
? Excellent oral and written English
? Independent decision making
? Professional telephone etiquette
? Good time management skills and must be able to prioritize
? Must be flexible to work third shifts
? Basic computer skills
? Must work well under pressure and be able to work on multiple tasks simultaneously.

Knowledge:
? Knowledge of medical terminology and insurance industry preferred
? Knowledge of clinic charging, coding and insurance billing procedures preferred (but trainable)

职能类别:保险核保

公司介绍

和睦家医疗服务网络自开始运营以来,已为数以百万计在华外籍人士和中国家庭提供了高质量的医疗服务。作为其中一员,2008年和睦家广州诊所开业,2018年广州和睦家医院盛大开业。
广州和睦家医院已高分通过国际医疗卫生机构认证联合委员会(JCI)的认证,总建筑面积超6万平方米,床位超100张。提供包括内科、外科、妇产科、儿科、全科、皮肤科、口腔科、康复医学科、中医门诊、24小时急诊等在内的多学科专业服务,以及全科家庭医疗、家庭式一体化产房、产后康复中心、新生儿重症监护室等特色服务。
广州和睦家医院及和睦家广州诊所,构成和睦家在粤服务网络。广州和睦家与北京、上海、深圳、天津、青岛、博鳌、杭州等医疗机构一同,诚挚欢迎每位前来就诊的患者体验高标准的国际医疗服务。
地址:广州市海珠区琶洲大道31号 邮编:510335

联系方式

  • 公司地址:广州市海珠区琶洲大道31号 (邮编:510335)