Insurance Coordinator (Full-time) 5-day work week

Job Description

• 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 agreement 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

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 agreement 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

Requirement

• 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.