- Ensure smooth insurance-related processes including verifying coverage obtaining pre-authorization and managing claims
- Act as a liaison between the hospital, insurance companies, and patients to ensure timely payments, accurate billing and claims processing
- Communicate and coordinate with insurance companies to resolve billing inquiries, discrepancies and expedite claims
- Collaborate with other departments to streamline processes and improve efficiency on direct billing operational protocol
- Provide guidance, training and support to the department on insurance protocols and adherence to best practices
- Provide recommendations on new agreement and agreement renewal with potential / existing business partners
- Participate in various projects on the development, maintenance and enhancement of operations systems.
- Work with the team to facilitate the Budget Estimation.
- Participate in departmental planning, quality improvement plan and analysis.
- Support department / management by gathering, analyzing, formatting data into clear and actionable reports, and complaint handling.
- Organize and attend meetings with insurance companies for addressing / resolving operational issues, accelerating claims processing, and building mutual trust.
- Perform other duties as assigned
Duties
- Ensure smooth insurance-related processes including verifying coverage obtaining pre-authorization and managing claims
- Act as a liaison between the hospital, insurance companies, and patients to ensure timely payments, accurate billing and claims processing
- Communicate and coordinate with insurance companies to resolve billing inquiries, discrepancies and expedite claims
- Collaborate with other departments to streamline processes and improve efficiency on direct billing operational protocol
- Provide guidance, training and support to the department on insurance protocols and adherence to best practices
- Provide recommendations on new agreement and agreement renewal with potential / existing business partners
- Participate in various projects on the development, maintenance and enhancement of operations systems.
- Work with the team to facilitate the Budget Estimation.
- Participate in departmental planning, quality improvement plan and analysis.
- Support department / management by gathering, analyzing, formatting data into clear and actionable reports, and complaint handling.
- Organize and attend meetings with insurance companies for addressing / resolving operational issues, accelerating claims processing, and building mutual trust.
- Perform other duties as assigned
Requirement
- University graduate or above.
- 5 years of health care or medical insurance experience, preferably in provider relations nature
- Strong organization skills in maintaining and managing direct billing protocol and operation.
- With solid experience in service industry and customer service
- Demonstrate strong communication, customer service, interpersonal, time management, decision-making and problem-solving skills.
- Attention to details and excellent follow through on work tasks.
- Able to multi-task and work under pressure.
- Demonstrate proactive initiative and willingness to accept responsibilities.
- Proficiency in both spoken and written English and Chinese, including Mandarin.
- Proficiency in MS Office - Word, Excel, PowerPoint etc.
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Insurance Coordinator (Full-time) 5-day work week in Doncaster employer: Adventist Health Hong Kong
Adventist Health Hong Kong is an exceptional employer that prioritises a supportive work culture and employee development. With a focus on health and wellness, staff members enjoy comprehensive training opportunities and a collaborative environment that fosters personal and professional growth. Located in a vibrant community, employees benefit from a dynamic workplace that values customer service and quality care.
Contact Details:
Adventist Health Hong Kong Recruitment Team