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