Description
We are seeking an Intake Care Representative to join our team. As an Intake Care Representative, you will be responsible for the timely sending of all Guarantees of Payments, analysing requests for medical treatments and hospitalizations, verifying patient's extent of cover, and maintaining accurate workflow and process documentation.
Responsibilities:
- Analyse requests for medical treatments and hospitalizations
- Verify patient's extent of cover, our relationship with the provider, the need for medical review, and the costs
- Monitor the file from an administrative perspective and work with medical providers and individual insured
- Obtain all necessary information mainly by phone
- Maintain all necessary information regarding hospitalizations in an internal database
- Translate and interpret medical and other relevant documents for case analysis
- Work independently and effectively to communicate to internal and external customers by telephone and e-mail
- Maintain accurate workflow and process documentation following outlined processes
Competencies:
- Customer-focused
- Skilled decision-maker
- Accuracy
- Disciplined
- Efficiency
- Team-player
- Ready to work on weekends and 24x7 shifts
- Computer-literate
Requirements:
- Graduate degree in any field, preferably medical, paramedical, pharmacy, or nursing
- Minimum 1 year of experience in healthcare services or processing of healthcare insurance pre-authorization or claims
- Expertise in international insurance claims pre-auth processing
- Ability to work 24/7
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