Claims/TPA Executive

Responsibilities:

• Helping customers choose, modify an insurance plan that fits their needs and budget.
• Daily check list of patients who have insurance, collect and update insurance information.
• Follow-up and collect medical information to contact insurance for Guarantee of Payment.
• Inform people about coverage and exclusions and do support for evacuation services.
• Collect and check invoices to ensure patient signature, charges, price, company name, etc. are correct before process claims
• Make payment request with all the completed claim set and send to companies including insurance providers and corporations.
• Receive and solve all kinds of complaints concerning insurance.
• Assist front-line team, ward in charge and all other concerned, in dealing with issues related to insurance.