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Pre-Cert Specialist (MJ000639)

上海嘉会国际医院有限公司

  • 公司规模:500-1000人
  • 公司性质:外资(欧美)
  • 公司行业:医疗/护理/卫生

职位信息

  • 发布日期:2020-09-29
  • 工作地点:上海-徐汇区
  • 招聘人数:1人
  • 工作经验:3-4年经验
  • 学历要求:大专
  • 语言要求:英语熟练
  • 职位月薪:0.8-1.2万/月
  • 职位类别:保险理赔  保险核保

职位描述

ESSENTIAL TASKS:

1. Verify patient’s eligibility and patient’s insurance benefits and ensure timely updates in HIS

2. Work with cashier to assist individual patient with payer payment related issues upfront

3. Conduct financial counselling and financial screening to patients’ prior treatment

4. GOP (Guarantee of Payment) application from insurance company

5. Escalates any potential non-payment risk to supervisor

6. Discuss with patient for payment plan if there is deferred payment, monitor and follow up with patient to ensure payment is according to the agreed plan;

7. Assure claims go through clean claim check before submitting to insurance company; ? Assure claims submitted to insurance company in a timely manner

8. Follow up closely on the pending claim documents with different entities and make/update error report on a daily basis

9. Escalates problematic claims to line manager

10. Assure all the claims documents are well maintained in the share folders before submitting to insurance company

11. Assist to train new employee of billing team

12. Other duties and projects based on the operation needs



You Have:

1. A passion for service. Serving others provides you with great personal satisfaction

2. Ability to communicate in English and Chinese, both verbally and in writing

3. Ability to communicate and coordinate on issues with other departments within Jiahui Health family

4. Detail oriented, strong computer, excel processing, and analytical skills

5. Able to work shift, including week-end, overnight duty

6. Bachelor’s Degree or relevant education experience

7. 2-3 years hospital billing, insurance company or insurance broker claims processing experience is preferred

8. Basic understanding of ICD-10 and CPT coding languages a plus

9. Good communication and customer service skills

职能类别:保险理赔保险核保

关键字:预授权GOP

公司介绍

嘉会立体化健康医疗网络包括一家500床位综合国际医院、多家综合诊所,以及提供全面健康管理方案的健康中心。嘉会遵循国际标准提供安全可信赖的全方位品质医疗,从健康管理、急诊门诊服务,到复杂手术及住院治疗,更可无缝对接海外转诊,带来“以家庭为中心”的长期持续关怀,满足人生各阶段健康医疗需求。嘉会与美国麻省总医院深度战略合作并联合挂牌,携手海外知名医疗资源和国内知名三甲医院,让广大患者在本土即可享受海内外医疗资源。

嘉会国际医院是位于上海的外资控股、符合国际标准的综合医院。医院设有500张床位,位于上海市徐汇区,2017年10月已投入运营,首期开设246张床位。嘉会国际医院与哈佛大学医学院附属教学医院麻省总医院(Massachusetts General Hospital,简称麻省总医院)实行联合挂牌,肿瘤、***医学、儿科是嘉会国际医院的重点学科。

嘉会诊所(静安)是嘉会医疗的***家门诊诊所,位于静安商业区。诊所于2016年4月正式开业,目前开设全科、儿科、皮肤科、耳鼻喉科、眼科、口腔科、心理科等多个科室。

嘉会医疗(杨浦)目前设有全科、内科、外科、妇科、儿科、消化内科、口腔科、皮肤科、耳鼻咽喉科、中医康复科、医学影像科等多个科室,并增设CT、MRI等大型影像设备。我们的医师来自海内外知名医疗机构,拥有丰富的临床经验,并能使用多种语言。

联系方式

  • Email:recruitment@jiahui.com
  • 公司地址:桂平路689号