Patient Engagement Specialist

Taguig - Philippines

Monthly Salary: PHP 28000 - 32000

Posted on: 2 hours ago

Vacancies: 1 Vacancy

Job Summary

Patient Engagement Specialist

Job Description:

As a Patient Engagement Specialist you will play a key role in providing exceptional patient experiences by efficiently managing patient registration insurance verification and pre-authorization processes. This position requires excellent attention to detail strong communication skills and the ability to collaborate effectively with both patients and internal departments. You will ensure a smooth registration process while maximizing patient satisfaction. Strong analytical and problem-solving skills are required to ensure a clear and accurate understanding of information.

Duties and Responsibilities:

Patient Registration

Accurately collect and enter patient information into the system.
Verify patient demographics insurance coverage and eligibility.
Ensure compliance with registration policies and procedures.
Provide excellent customer service to patients during the registration process.
Collaborate with other departments to resolve registration-related issues.

Eligibility Verification

Verify insurance coverage and benefits for patients.
Ensure accurate and complete eligibility verification.
Identify pre-authorization requirements and assist in obtaining them.
Communicate insurance-related information to patients and internal teams.
Work closely with insurance companies to resolve eligibility issues or discrepancies.

Pre-Authorization Management

Review medical documentation and treatment plans to determine pre-authorization requirements.
Submit pre-authorization requests to insurance companies.
Follow up on pending or denied pre-authorizations and work to resolve them.
Maintain accurate records of pre-authorization status and documentation.
Collaborate with healthcare providers and insurance companies to ensure timely approvals.

Patient Communication and Support

Serve as a point of contact for patients regarding registration insurance and pre-authorization inquiries.
Provide clear and concise explanations of processes requirements and next steps to patients.
Address patient concerns questions and complaints promptly and professionally.
Collaborate with other departments to ensure coordinated and efficient patient care.

Process Improvement

Identify opportunities to streamline and enhance patient engagement processes.
Propose and implement improvements to optimize registration insurance verification and pre-authorization workflows.
Collaborate with cross-functional teams to enhance the overall patient experience.

Requirements

Qualifications:

13 years of experience in patient registration healthcare operations or medical administrative support.
Knowledge of insurance verification eligibility checks and pre-authorization processes.
Strong attention to detail and commitment to data accuracy.
Excellent written and verbal communication skills with a patient-focused mindset.
Ability to handle multiple tasks in a fast-paced deadline-driven environment.
Proficiency with electronic health record (EHR) systems patient management software and Microsoft Office or Google Workspace.
Strong problem-solving skills and ability to identify process improvements.
Ability to collaborate effectively with cross-functional teams including clinical administrative and insurance departments.
Professional demeanor with excellent customer service skills.
Familiarity with HIPAA regulations and handling confidential patient information is a plus.

Benefits

Benefits

Great Place to WorkCertified company
Premium HMO coverage
Holistic employee experience programs
Rewards and performance incentives
Monthly engagement activities
Career advancement opportunities
Paid referral program

Required Skills:

Qualifications: 13 years of experience in patient registration healthcare operations or medical administrative support. Knowledge of insurance verification eligibility checks and pre-authorization processes. Strong attention to detail and commitment to data accuracy. Excellent written and verbal communication skills with a patient-focused mindset. Ability to handle multiple tasks in a fast-paced deadline-driven environment. Proficiency with electronic health record (EHR) systems patient management software and Microsoft Office or Google Workspace. Strong problem-solving skills and ability to identify process improvements. Ability to collaborate effectively with cross-functional teams including clinical administrative and insurance departments. Professional demeanor with excellent customer service skills. Familiarity with HIPAA regulations and handling confidential patient information is a plus.

Patient Engagement SpecialistJob Description: As a Patient Engagement Specialist you will play a key role in providing exceptional patient experiences by efficiently managing patient registration insurance verification and pre-authorization processes. This position requires excellent attention to de...