職位描述
崗位職責(zé)Responsibilities:•Case managementoPrepare estimated cost according to treatment plans and hospital’s pricing principleoConfirm Direct Billing eligibility and insurance policy benefitoUpdate insurance companies about insured patient’s costs and make sure the expenses are covered by a guarantee letteroCommunicate with patients about their payment method, clearly discussion of the deposit / guarantee status and payment plans•NegotiationoCommunicate and convince third party payers to obtain payment guaranteeoSupplement information to third party payers as required, such as medical justification, pricing structure, estimation details, etcoAppeal on behalf physician and/or management team for denied cases oEscalate complicated cases to upper intervention if neededoConduct case study to support supervisor and managers to propose appropriate payment solution for any special casesoIntroduce membership program to qualified patientoProvide financial counseling service to patient•AnalysisoAnalyze financial patterns together with coding / Revenue Cycle / management team, such as the use of CPT code, billing group, etcoAnalyze insurance trends•Report insurance performances to TPP and management team to support relationship maintenance•Other assignments by supervisor or managers任職條件Qualifications:•Associate college degree required•Customer service experience, at healthcare business preferredSkills:•Language skills: fluent in Chinese and English (both oral and written)•PC skills: good at Microsoft office tools, Excel and/or other analytical tools preferred•Communication skills: good at approaching staff, co-workers, and supervisors•Negotiation skill: able to “sell” hospital services to convince payers•Must work well under pressure and be able to work on multiple tasks simultaneouslyKnowledge:•Good understanding of medical terminology, curiosity to cumulate more medical knowledge•Good understanding of insurance industry•Good understanding of customer service•Knowledge of healthcare business職位概述Summary of Responsibilities:?Responsible for ensuring the timely and accurate review of any situation requiring a medical determination prior to final payment for all orthopedic cases?Conduct the study and analysis on orthopedic department部門概述上海和睦家醫(yī)院(SHU)是納斯達(dá)克上市公司美國Chindex集團(tuán)（股票代碼：CHDX）和上海長(zhǎng)寧區(qū)中心醫(yī)院共同組建的合資醫(yī)院，于2004年12月1日開始營業(yè)。上海和睦家醫(yī)院的宗旨是：在家庭般溫馨舒適的就診環(huán)境里，為患者提供獨(dú)特的、全方位的醫(yī)療服務(wù)。上海和睦家醫(yī)院具有自己特定的建院目的，是一家獲得JCI國際認(rèn)證的綜合性醫(yī)院，擁有來自全球的高水平醫(yī)務(wù)人員，同時(shí)可與全球40多家保險(xiǎn)公司直接結(jié)算。上海和睦家醫(yī)院設(shè)有24小時(shí)開放的急診室，可為患者提供門診和住院服務(wù)，醫(yī)院還配備了一流的手術(shù)室、放射科、藥房和化驗(yàn)室。上海和睦家醫(yī)院在選擇具有國際背景的高級(jí)醫(yī)生和本土專家時(shí)，不僅考察其培訓(xùn)經(jīng)歷和專業(yè)知識(shí)是否卓越，還要考察他們的同情心、同理心以及是否真正有興趣在多元文化環(huán)境中工作。除了具有高水平的醫(yī)療團(tuán)隊(duì)外，上海和睦家醫(yī)院還與來自地方教學(xué)醫(yī)院及亞洲地區(qū)醫(yī)療機(jī)構(gòu)的醫(yī)學(xué)教授和顧問建立了良好的工作關(guān)系。上海和睦家醫(yī)院是值得您信賴的健康伙伴！
