صاحب العمل نشط
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيحالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكترونيExperience: 3Years
Location: Qatar (Local Candidates Only)
KEY ROLE ACCOUNTABILITIES
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Advises and counsels patients and guarantors as to rights responsibilities and procedures with regards to
payment for care.
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Responds to patients’ insurance benefit questions generates charge estimates and assists with making
payment plans.
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Addresses all questions and concerns in courteous professional manner.
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Liaises with patients/families to identify the most appropriate account resolution.
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Coordinates with patients/families on method of payment and establishes payment arrangements/plans
if patients have problems with payment.
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Creates payment plans tailored to the needs of patients/families after thorough evaluation this may
include a pre-procedure deposit as well as a monthly payment agreement.
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Assists patients/ families with financial assistance applications as needed and completes charity
processing for assigned patients as appropriate.
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Ensures appropriate signatures are obtained on all necessary forms.
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Provides training for new Financial Counselors I and conducts additional training on as needed basis.
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Assists in cash collection from patients/families: performs down payment transaction in system generates
receipt voucher and collects down payment amounts/co-payments and other out of pocket amounts
from patients.
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At discharge ensures collection of the remaining balance from patients/families.
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At the end of the shift reconciles the amounts collected from patients with the amounts on the payment
transactions report generated from the system and reports any discrepancy amount.
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Processes assigned pre-authorization requests through manual and electronic internal referral systems
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Prioritizes pre-authorization requests.
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Submits and follows up pre-authorization requests prepared by the Assistant Financial Counselor and
other inquiries to the NHIC (National Health Insurance Company) and other insurance providers.
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Communicates with assigned clinical staff departments to obtain additional information as required
by the insurance provider or the payer.
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Performs urgent pre-authorization requests in a timely manner in agreement with Manager of insurance
and escalates issues to senior financial counseling staff on as needed basis.
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Works with health insurance providers and key departments to promote an understanding of pre-
authorization requirements and processes.
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Updates the system with the outcomes of the pre-authorization requests (approval partial approval
reason of decline or request of additional information etc.)
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Notifies the concerned staff about the outcomes of the pre-authorization requests.
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Maintains proper logs and documentation on assigned requests.
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Participates in departmental process improvement activities.
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Maintains confidentiality of all patients and medical/clinical information.
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Performs other functions as necessary to accommodate departmental change workload and
emergencies.
دوام كامل