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丁香人才 > 职位招聘 >销售人员及行政管理招聘 >保险招聘 >北京保险招聘 >Pre-certification Specialist 保险审核专员招聘

Pre-certification Specialist 保险审核专员

和睦家医疗 2017-06-23发布 2017-09-08截止
  • 学历要求: 不限
  • 外语要求: 不限
  • 年龄要求: 不限
  • 专业要求: 不限
  • 工作年限: 不限
  • 月薪范围: 面议
  • 职位性质: 全职
  • 工作地点: 北京市
  • 职称要求: 不限
  • 招聘人数: 1人

职位描述

1. Contacts insurance companies to determine patient’s internationalinsurance benefits. Verify patient eligibility and pre-certificationrequirements through On-line verification software, email or bytelephone
2. Obtains requirements for claim submission and pre-certificationprocess 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 financialagreements prior to providing service
5. Maintains the pre-certification related information in the system toensure its accuracy
6. Verifies the coverage of benefit and asks for the payment guaranteein 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 relatedinquiries
9. Conducts financial screening for all inpatients (Observation, DaySurgery, Admission)
10. Coordinates and answers inpatient inquiries
11. Coordinates on discharge process, prepares itemized interimstatement upondischarge
12. Maintains strictest confidentiality of patient information
13. Assists other office personnel in the performance of their duties asassigned 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.

1. Minimum education- the completion of Junior College
2. Working experience in BJU or a similar health care organization or abusiness setting desired
3. Must be flexible to work third shifts
4. Additional education/experience may be substituted forexperience/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 taskssimultaneously.
12. Knowledge of medical terminology and insurance industry preferred
13. Knowledge of clinic charging, coding and insurance billingprocedures preferred (but trainable)

联系人: 人力资源HR

地    址:上海市长宁区仙霞路1139号

关于和睦家医疗

和睦家医疗(United FamilyHealthcare),是在华具备高水平的开拓性医疗机构。和睦家在亚洲的宗旨是,提供综合性的医疗服务,创造以患者为中心的家庭式就医环境。

和睦家医疗成立20年来,已经在北京、上海、天津、广州、无锡和青岛设立了医院及诊所,为当地居民提供高质量的医疗服务。北京、上海和广州的和睦家医院及诊所已经通过了国际联合医疗委员会(JCI)的认证,这是和睦家一贯宗旨的最好例证:坚守国际标准的医疗品质,确保患者的安全健康,提供卓越的医疗服务。

北京和睦家医院(BJU)

公司地址:朝 ...详情

单位概况

和睦家医疗
近两周应聘简历处理率:20%
医疗/护理/保健/卫生
民营医院 其他
1000~9999人
上海市长宁区仙霞路1139号
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