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财务服务岗位职责
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BillingOfficer患者财务服务代表ESSENTIALTASKS:
•Checkandprovidepatient’seligibilityandpatient’sinsurancecoverageinformation;
•Workwithcashiertoassistindividualpatientwithpayerpaymentrelatedissuesupfront;
•Conductfinancialcounsellingandfinancialscreeningtopatientspriortreatment;
•GOP(GuaranteeofPayment)applicationfrominsurancecompany;
•Ensureaccurateandcompleteclaimdocument,andsubmittopayers(e.g.Insurancecompany,Corporateclient);
•Provideefficientresponseandsufficientinformationtopayer’squestionarise;
•CreateandmaintainpayerrelatedinformationinHIS(HospitalInformationSystem);
•SelectcorrectinsuranceplancoverageforpatientinHIS;
•Monitorinpatientdepositvs.billsizestatusdaily,initiatedeposittopupactiontoensuresufficientpaymentforhospitalization;
•Escalatesanypotentialnon-paymentrisktosupervisor;
•Verifytheaccuracyofallcharges,payments/adjustments,write-offsanddebitsappliedtocorrectionsappliedtoanypatient`saccountrequiringfinancialreview.
•Discusswithself-paypatientforpaymentplanifthereisdeferredpayment,monitorandfollowupwithpatienttoensurepaymentisaccordingtotheagreedplan;
•Initiatecollectionactionondelinquentaccounts–bothpayerandself-pay;
•AR(accountreceivables)monitoringandfollowuptillpaymentisreceived;
•Maintainmeticulousrecordsofallcollectiontransactionsandfollowuprecords;
•Resolveaccountswithbankruptcies,deceasedpatientandnon-sufficientfundsissues;
•ProvideperiodicallyARreportingtofinancedepartment;
•Provideinsurancerelatedorientationtonewdoctors;
•Provideupdatestoclinicalteamonrelevantchangesofpayer’spractice;
•Scanandsaveclaimdocuments,forrecordpurpose.
YouHave:
•Apassionforservice.Servingothersprovidesyouwithgreatpersonalsatisfaction.
•AbilitytocommunicateinEnglishandChinese,bothverballyandinwriting.
•AbilitytocommunicateandcoordinateonissueswithotherdepartmentswithinJiahuiHealthfamily
•Strongcomputer,wordprocessing,anddataentryskills.
•Abletoworkshift,includingovernightduty
•Bachelor’sDegreeorrelevanteducationexperience
•Hospitalpre-certificationorinsurancecompanyclaimsprocessingexperienceispreferred
•BasicunderstandingofICD-9andCPTcodinglanguagesaplus
•Goodcommunicationandcustomerserviceskills
WeOffer:
•Opportunitytoreceiveprofessionaltrainingasyoudevelopyourcareerincustomerservice
•Opportunitytoworkinahighlyprofessional,best-in-Shanghaihealthcarefacility
•CompetitivepackagetosupportyouandyourfamilytoliveabetterlifeESSENTIALTASKS:
•Checkandprovidepatient’seligibilityandpatient’sinsurancecoverageinformation;
•Workwithcashiertoassistindividualpatientwithpayerpaymentrelatedissuesupfront;
•Conductfinancialcounsellingandfinancialscreeningtopatientspriortreatment;
•GOP(GuaranteeofPayment)applicationfrominsurancecompany;
•Ensureaccurateandcompleteclaimdocument,andsubmittopayers(e.g.Insurancecompany,Corporateclient);
•Provideefficientresponseandsufficientinformationtopayer’squestionarise;
•CreateandmaintainpayerrelatedinformationinHIS(HospitalInformationSystem);
•SelectcorrectinsuranceplancoverageforpatientinHIS;
•Monitorinpatientdepositvs.billsizestatusdaily,initiatedeposittopupactiontoensuresufficientpaymentforhospitalization;
•Escalatesanypotentialnon-paymentrisktosupervisor;
•Verifytheaccuracyofallcharges,payments/adjustments,write-offsanddebitsappliedtocorrectionsappliedtoanypatient`saccountrequiringfinancialreview.
•Discusswithself-paypatientforpaymentplanifthereisdeferredpayment,monitorandfollowupwithpatienttoensurepaymentisaccordingtotheagreedplan;
•Initiatecollectionactionondelinquentaccounts–bothpayerandself-pay;
•AR(accountreceivables)monitoringandfollowuptillpaymentisreceived;
•Maintainmeticulousrecordsofallcollectiontransactionsandfollowuprecords;
•Resolveaccountswithbankruptcies,deceasedpatientandnon-sufficientfundsissues;
•ProvideperiodicallyARreportingtofinancedepartment;
•Provideinsurancerelatedorientationtonewdoctors;
•Provideupdatestoclinicalteamonrelevantchangesofpayer’spractice;
•Scanandsaveclaimdocuments,forrecordpurpose.
YouHave:
•Apassionforservice.Servingothersprovidesyouwithgreatpersonalsatisfaction.
•AbilitytocommunicateinEnglishandChinese,bothverballyandinwriting.
•AbilitytocommunicateandcoordinateonissueswithotherdepartmentswithinJiahuiHealthfamily
•Strongcomputer,wordprocessing,anddataentryskills.
•Abletoworkshift,includingovernightduty
•Bachelor’sDegreeorrelevanteducationexperience
•Hospitalpre-certificationorinsurancecompanyclaimsprocessingexperienceispreferred
•BasicunderstandingofICD-9andCPTcodinglanguagesaplus
•Goodcommunicationandcustomerserviceskills
WeOffer:
•Opportunitytoreceiveprofessionaltrainingasyoudevelopyourcareerincustomerservice
•Opportunitytoworkinahighlyprofessional,best-in-Shanghaihealthcarefacility
•Competitivepackagetosupportyouandyourfamilytoliveabetterlife
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