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Patient Engagement Specialist
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Patient Engagement Specialist

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1 Vacancy
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Jobs by Experience

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1-3years

Job Location

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Makati - Philippines

Monthly Salary

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Not Disclosed

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Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Req ID : 2575476
About the Client:

OpenLoop was founded with the mission to expand access to care for patients across the country by bringing healthcare into the home. What truly sets their team apart is the level of quality care and compassion they pour into supporting their digital health clients wherever they need assistance the most. Its safe to say they are as passionate about providing superior virtual care as they are and it shows!


Job Summary:

The Patient Engagement Specialist plays a crucial role in providing exceptional patient experiences by efficiently managing patient registration patient financial services insurance verification and preauthorization processes. This position requires excellent attention to detail strong communication skills and the ability to collaborate effectively with both patients and internal departments. The Patient Engagement Specialist ensures a smooth and seamless registration process while maximizing patient satisfaction.


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 any registrationrelated issues.

Patient Payments and Collections:

  • Collect patient copayments coinsurance and deductibles at the time of service or through followup communications.
  • Send out monthly statements to patients detailing their outstanding balances and payment options.
  • Conduct patient collection calls to remind and assist patients in resolving their financial obligations.
  • Assist patients in setting up payment plans and provide guidance on available payment methods.
  • Ensure patient payment information is securely processed through systems like Stripe.
  • Maintain accurate and uptodate records of patient payments and collections.

Eligibility Verification:

  • Verify insurance coverage and benefits for patients.
  • Ensure accurate and complete eligibility verification.
  • Identify any preauthorization requirements and assist in obtaining them.
  • Communicate insurancerelated information to patients and other departments.
  • Work closely with insurance companies to resolve eligibility issues or discrepancies.

PreAuthorization Management:

  • Review medical documentation and treatment plans to determine preauthorization requirements.
  • Submit preauthorization requests to insurance companies.
  • Follow up on pending or denied preauthorizations and work to resolve them.
  • Maintain accurate records of preauthorization 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 preauthorization 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 preauthorization workflows.
  • Collaborate with crossfunctional teams to enhance the overall patient experience.


Requirements


  • High school diploma or equivalent; additional healthcarerelated certifications or education is a plus.
  • 23 years previous experience in patient registration eligibility verification or preauthorization.
  • Knowledge of medical terminology insurance plans and billing processes.
  • Strong communication and interpersonal skills.
  • Attention to detail and accuracy in data entry and documentation.
  • Ability to handle confidential patient information with discretion.
  • Proficient computer skills including experience with electronic medical records and registration systems.
  • Ability to work independently and collaboratively in a fastpaced environment.
  • Must have Fiber Optic internet with at least 25 Mbps bandwidth
  • Must have a backup desktop or laptop with the latest OS
  • Must be able to work US CST shifting schedule
  • Must be amenable to reporting to our BGC office 4x a week


Benefits


WHAT WE OFFER:

Great Place to WorkCertified Company
Premium HMO
Holistic employee experience
Workfromhome and hybrid work setup
Rewards and incentives
Monthly engagement activities
Career advancement opportunities
Paid referral program


High school diploma or equivalent; additional healthcare-related certifications or education is a plus. 2-3 years previous experience in patient registration, eligibility verification, or pre-authorization. Knowledge of medical terminology, insurance plans, and billing processes. Strong communication and interpersonal skills. Attention to detail and accuracy in data entry and documentation. Ability to handle confidential patient information with discretion. Proficient computer skills, including experience with electronic medical records and registration systems. Ability to work independently and collaboratively in a fast-paced environment. Must have Fiber Optic internet with at least 25 Mbps bandwidth Must have a backup desktop or laptop with the latest OS Must be able to work US CST shifting schedule Must be amenable to reporting to our BGC office 4x a week

Employment Type

Full Time

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