Executive, Business Office
3 days ago
Business Office Management
· Responsible for following up on queries, and providing end-to-end support in processing medical claim submissions, regarding Mediclaim and Corporate Insurance claims, including reimbursements.
· Provide accurate adjudication of claims, pre-authorization and LOG issuance to meet operational targets.
· Collect accurate information and documents to proceed with the claim process
· Monitor and timely follow-up on the progress of pending claims to assist with quick resolutions and proper closure
· Liaise with doctors and clinics for facility bill size estimations
· Follow up with patients and insurers for outstanding hospital bills
· Support patients, clinics and front office in day-to-day insurance claims matters
· Check validity of claims prior to data entry into system and ensure mediclaims are filed within a strict timeline
· To handle enquiries from internal and external parties within the agreed targeted turnaround time
· Maintain accurate case records and all related communication
· Any other duties or projects as assigned
Qualifications and Education Requirements· Diploma/degree and above with experience in Healthcare/Insurance/Third Party Administrators industries preferred.
· Meticulous and detail oriented at work with accuracy of data entries into system
· Able to work in a fast-paced environment and work independently
· Proactive, Problem solver, Good Team Player
· Willing to learn and adaptable to working environment with minimal supervision
· Proficient in Microsoft Office applications (Excel, Word and Power Point)
5.5 working days
Mon-Fri: 9am to 6pm
Sat: 9am to 1pm
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