Adventist Health Hong Kong
Insurance Coordinator (Full-time) 5-day work week
Doncaster
Posted 1 day ago
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Duties
- Ensure smooth insurance-related processes including verifying coverage, obtaining pre-authorization, and managing claims
- Act as a liaison between the hospital, insurance companies, and patients to ensure timely payments, accurate billing, and claims processing
- Communicate and coordinate with insurance companies to resolve billing inquiries, discrepancies, and expedite claims
- Collaborate with other departments to streamline processes and improve efficiency on direct billing operational protocol
- Provide guidance, training, and support to the department on insurance protocols and adherence to best practices
- Provide recommendations on new agreements and agreement renewal with potential/existing business partners
- Participate in various projects on the development, maintenance, and enhancement of operations systems
- Work with the team to facilitate the Budget Estimation
- Participate in departmental planning, quality improvement plan, and analysis
- Support department/management by gathering, analyzing, formatting data into clear and actionable reports, and complaint handling
- Organize and attend meetings with insurance companies for addressing/resolving operational issues, accelerating claims processing, and building mutual trust
- Perform other duties as assigned
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Requirement
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- University graduate or above
- 5 years of health care or medical insurance experience, preferably in provider relations nature
- Strong organization skills in maintaining and managing direct billing protocol and operation
- With solid experience in service industry and customer service
- Demonstrate strong communication, customer service, interpersonal, time management, decision-making, and problem-solving skills
- Attention to details and excellent follow-through on work tasks
- Able to multi-task and work under pressure
- Demonstrate proactive initiative and willingness to accept responsibilities
- Proficiency in both spoken and written English and Chinese, including Mandarin
- Proficiency in MS Office - Word, Excel, PowerPoint, etc.
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Skills
Insurance Verification
Claims Management
Pre-authorization
Billing Coordination
Provider Relations
Customer Service
Time Management
Problem Solving
MS Office
English Proficiency
Chinese Proficiency
Mandarin Proficiency
Data Analysis
Budget Estimation
Interpersonal Communication
Direct Billing Protocol