Loss Adjusters (Energy)

Sedgwick; Jawa Barat; On-site; IDR 200.000.000 - 300.000.000; Full time

Job summary

A leading healthcare outsourcing agency is looking for a Claim Analyst to verify insurance coverage, authorize procedures, and communicate with patients. The role requires a D3 degree in Nursing or a related field and experience in insurance or claims. Strong communication skills and proficiency in Ms. Office are essential. The position offers employee benefits including BPJS Ketenagakerjaan and BPJS Kesehatan.

Benefits

BPJS Ketenagakerjaan

BPJS Kesehatan

Service Charge

Qualifications

• Minimum D3 degree in Nursing, Midwifery, or Public Health.
• Previous experience in Insurance/Claim Analyst/Hospital Admission/Third Party Administrator verification.

Responsibilities

• Contact insurance companies and patients to confirm eligibility, benefits, and coverage for procedures and services.
• Utilize online portals and databases to access and verify insurance information.
• Secure necessary pre-authorizations and referrals from insurance companies for procedures and services.
• Ensure timely authorization processing to avoid delays in patient care.
• Explain insurance coverage details and patients' financial responsibilities to them.

Skills

Good communication skill

Ms. Office

Education

Diploma in Nursing / Midwifery / Public Health

Job description

Job Summary

Location: JAKARTA SELATAN

Salary: IDR 4,000,000 - IDR 8,000,000

Agency: PT Asia Outsourcing Services

Qualifications

• Pendidikan min. D3 Keperawatan / Kebidanan / Kesehatan Masyarakat
• Pengalaman kerja sebelumnya di bidang Asuransi/Claim Analyst/Admission RS /Verifikasi Third Party Administrator (TPA)
• Terbiasa menggunakan Ms. Office
• Good communication skill

Responsibilities

• Menghubungi perusahaan asuransi dan pasien untuk mengonfirmasi kelayakan, manfaat, dan pertanggungan untuk prosedur dan layanan.
• Memanfaatkan portal dan basis data online untuk mengakses dan memverifikasi informasi asuransi.
• Mengamankan pra-otorisasi dan rujukan yang diperlukan dari perusahaan asuransi untuk prosedur dan layanan.
• Memastikan pemrosesan otorisasi yang tepat waktu untuk menghindari penundaan dalam perawatan pasien.
• Menjelaskan detail pertanggungan asuransi dan tanggung jawab finansial pasien kepada pasien.

Benefits & Remuneration

• BPJS Ketenagakerjaan
• BPJS Kesehatan
• Services Charge

How to Apply

Send your CV and cover letter to the specified contact details.
Subject: Lamaran - CLAIM ANALYST HOSPITAL INSURANCE - (Nama Anda)