Job Description
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
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- 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:
