General purpose of the position:
Provide best direct- billing services to patients
Key duties and responsibilities:
Direct billing for insured patients
Daily check list of patients who have insurance, collect and update insurance information
Consult and explain to patients about insurance and direct billing procedures
Check charges for case by case confirmation on direct- billing coverage
Follow- up and collect medical information to contact insurance for Guarantee of Payment (GOP)
Keep related people be updated on coverage and exclusions
Update coverage confirmation on HIS notes, via email, telephone, etc. for related people
Follow- up patient charges to ask for extension of GOP if the charges exceeds previous GOP (s)
Claim & payment follow- up
Make payment request with all the completed claim set and send to companies including insurance providers and corporations
Collect and check invoices to ensure patient signature, charges, price, company name, etc. are correct before process claims
Collaborate with Billing group to collect payment
Complete claim forms and supported document
Provide/update additional information required by the companies if any
Strengthen relationship with insurance providers
Claim documents always completed and full of required information as expected
Work with insurance provider with professional, straight forward and respected manner
Well understanding insurance policy and insurance products that provide the best explanation to insured patients
All requests and addressed issues from insurance provider are careful investigated and response as quickly as possible to insurance provider
Direct- billing Help Desk and others
Receive and solve all kinds of complaints concerning insurance.
Do tarmac access and support for evacuation services
Response to all enquiries concerning direct- billing services of insurance & corporate
Get all claim paperwork completed for pay- and- claim insured patients.
Assist front- line team in dealing with issues related to insurance and direct- billing services.
Provide supporting document for claim requested by insurance for non direct- billing cases.
Advise non- insured patients on insurance companies & products insurance products
