Insurance Coordinator (Full-time) Patient Business Department

Hong Kong Adventist Hospital - Stubbs Road; Hong Kong; On-site; HKD 323,640 - 446,400; Full time

Job summary

Hong Kong Adventist Hospital - Stubbs Road is seeking a healthcare insurance specialist to manage coverage verification, pre-authorization and claims processing. You will liaise with insurers, patients and hospital departments to ensure timely payments, accurate billing and smooth direct billing operations.

Fluent in English and Chinese (Mandarin) with at least five years of relevant experience is required.

Qualifications

• 5 years of health care or medical insurance experience, preferably in provider relations.
• Strong communication and interpersonal skills.
• Proficiency in English and Chinese (Mandarin).
• Attention to detail and ability to multi-task under pressure.

Responsibilities

• Verify coverage, obtain pre-authorization, and manage claims.
• Liaise between hospital, insurers, and patients to ensure timely payments and accurate billing.
• Coordinate with insurers to resolve inquiries, discrepancies and expedite claims.
• Collaborate with departments to streamline direct billing operations.
• Provide guidance and training on insurance protocols and best practices.
• Assist in negotiations and renewals with business partners.
• Participate in projects to develop and enhance operations systems.
• Assist in budget estimation.
• Support planning, quality improvement, and data reporting.
• Organize meetings with insurers to address issues and build trust.
• Perform other duties as assigned.

Skills

Organizational skills

Communication skills

Customer service

Time management

Problem-solving

Education

Bachelor's degree

Tools

MS Office

Job description

Responsibilities:

• Ensure smooth insurance-related processes including verifying coverage obtaining pre-authorization and managing claims
• Act as a liaison between the hospital, insurance companies, and patients to ensure timely payments, accurate billing and claims processing
• Communicate and coordinate with insurance companies to resolve billing inquiries, discrepancies and expedite claims
• Collaborate with other departments to streamline processes and improve efficiency on direct billing operational protocol
• Provide guidance, training and support to the department on insurance protocols and adherence to best practices
• Provide recommendations on new agreement and agreement renewal with potential / existing business partners
• Participate in various projects on the development, maintenance and enhancement of operations systems.
• Work with the team to facilitate the Budget Estimation.
• Participate in departmental planning, quality improvement plan and analysis.
• Support department / management by gathering, analyzing, formatting data into clear and actionable reports, and complaint handling.
• Organize and attend meetings with insurance companies for addressing / resolving operational issues, accelerating claims processing, and building mutual trust.
• Perform other duties as assigned

Requirements:

• University graduate or above.
• 5 years of health care or medical insurance experience, preferably in provider relations nature
• Strong organization skills in maintaining and managing direct billing protocol and operation.
• With solid experience in service industry and customer service
• Demonstrate strong communication, customer service, interpersonal, time management, decision-making and problem-solving skills.
• Attention to details and excellent follow through on work tasks.
• Able to multi-task and work under pressure.
• Demonstrate proactive initiative and willingness to accept responsibilities.
• Proficiency in both spoken and written English and Chinese, including Mandarin.
• Proficiency in MS Office - Word, Excel, PowerPoint etc.

## More Job Information

Salary

• 29000 - 40000 / MONTH

Job Function

• 推廣 銷售 客戶服務 - 其他職位

Location

• 灣仔區

Employment Term

• 全職

Employment Term

• 長期

Education

• 學士