Approval Office Coordinator - 2

Job Purpose / Objective :

Coordinate the daily tasks performed in the approval/referral section and ensure the tasks is coordinated and performed within a timely manner.

Key Responsibilities / Accountabilities  :

• Control of Approval
• • Validate the information’s provided by the patient seeking service from HMG.
  • Coordinate multi source transaction of service approvals from various insurance companies.
  • Check and validate that each proposal/processed document has all the relevant documents required for processing the claims. It also acts as single point of contract to address the issues
  • Retrieve approval, transfer company response form online / fax and insert it to VIDA.

• Patient Services
  • Assist patients to process the documents within shortest period of time either as a front line office or call center agent.
  • Act as front liner / call center to while receiving the patient, engage the patient with information and will be single point of contact for the patients.
  • Contact the insurance companies on behalf of the patient and update the patients on any issues related to their processing of documents.
  • Process referral within and outside HMG/ inbound and outbound as per referral guidelines.
  • Validate medical coverage letters received and approved by head office in VIDA and follow up the services for covered patients.
  • Call patients to follow up approval issues when requested.
• Coordination
  • Coordinate with the clinic, administrative, claims and Billing departments for speedy processing of patient’s documents.
  • Acts as a front-liner / call center or central point of contact for all the departments of the hospital relating to all issues related to approval section.
  • Participates in person-centered care initiatives undertaken by HMG.
  • Enriches patient experience with compassion, respect and dignity.
  • Perform other duties/tasks assigned within the realm of his/her knowledge, skills or abilities.

Education/ Professional Qualification:

• Diploma Holder; Preferably Graduate

Experience:

• Minimum of (2) years of experience in the same field.

Professional Licensing / Certification / Training:

• Relevant Certificates