PSA International | Claims Specialist/Executive
2 days ago
Job Title:
Patient Counselling Department Lead
The incumbent will lead in establishing the patient counselling department, including managing health claim assessment and handling administrative duties.
This role will also work with senior management to implement accounting and administrative functions of the group.
Key Responsibilities:
Establish workflow for consumers and internal staffs in preauthorisation of Guarantee of Payment (GOP).
Implement application architectural specifications for internal staff using Vlookup.
Review existing processes and implement initiatives for efficient processes.
Correspond with insurers for renewal of contracts or new sign on.
Communicate effectively with third-party insurers, external stakeholders for claims resolution.
Financial Administration:
Submit E-CLAIMS through Mediclaim portal according to Medisave regulatory requirements.
Evaluate claims compliance with MOH and CPF requirements.
Check and ensure claims payment from various institutions are accurate and reconciled.
Manage related documents, ensuring accuracy and timely completion.
Stay up-to-date with industry changes on regulatory compliance, fee changes, and updates on submission portals.
Requirements:
Diploma or degree in any discipline.
1-2 years of experience in insurance claims handling or related fields.
Insurance industry knowledge and certificates, such as Certificate in Health Insurance.
Proficient with Microsoft Excel, including Vlookup.
A team player with attention to detail, strong analytical, organisational, and time management skills.
Salary:
This position comes with a competitive salary range of
$40,000 - $60,000 per annum , commensurate with experience.
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