Total 3 job vacancies by Alliance Healthcare Group Limited

Job Description

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.

The Job

• Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
• Manage escalations and stakeholder relations
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
• Conduct analysis, prepare periodic reports and presentation when required

Requirements:

• Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment
• Highly developed interpersonal skills
• Excellent organisational skills and exceptional eye for details
• Passionate about driving change to improve business outcomes.
• Exceptional communication skills and stakeholder management skills

Interested applicant please click apply, or send in your resume to us. Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit https://www.alliancehealthcare.com.sg

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment.

Pay Rate: $13/h

Responsibilities:

Claims Management – Outpatient and Inpatient Medical Claims

• Understand and examine the provisions of medical policies to determine the patient’s/member’s level of medical coverage against the terms and conditions of the policy
• Provide accurate and efficient assessment of medical claims, validation, pre-authorisation of applications and LOG issuance
• Ensure evidence and claims information are documented and maintained in accordance to company compliance policies and SLA
• Work with the management team to share claim trends, analyse and interpret data in relation to medical claims and identify areas of improvement in the current medical claims cycle and SOPs
• Contribute to ad hoc projects, initiatives, and other activities such as new developments of Medical Claims solutions and processes

Requirements:

• Able to commit minimum 3 months period, 5 days a week (Mon to Fri)
• Able to commit to either fixed morning and/or fixed afternoon shifts
• Experience of claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment is ideal
• Good Organisational skills and exceptional eye for details
• Good communication skills and stakeholder management skills

Job Highlights

• Central location.
• Executive Health screening, GP Clinic and Radiology Centre.
• 5.5 days' week.

About The Opportunity

As a Clinical Admin, you will be a key member of our Clinic and Medical Centre, ensuring the efficient management of administrative tasks and contributing to the smooth operation of our facility.

What You'll be Doing

Claims and Billing Management

• Submission of claims to corporate programme and insurer portals. Accurately and promptly submit insurance claims and follow up on any discrepancies or issues that arise.
• Manage invoicing and billing to patients and clients. Prepare and send invoices to patients and clients, track payments, and manage any billing inquiries or issues.

Medical Records Office

• Manage incoming and outgoing medical reports. Handle the receipt, processing, and distribution of medical reports, ensuring confidentiality and compliance with relevant regulations.
• Manage laboratory reports. Receive and verify lab results, submitting to doctor for review and compiling into medical reports for patients, liaison with lab partner on queries and issues.

Communication and Correspondence

• Monitor and respond to emails from patients, clients, and other stakeholders in a timely and professional manner.
• Handle incoming phone calls, provide information, schedule appointments, and direct calls to the appropriate personnel.
• Handle patient inquiries and concerns. Address patient questions and concerns, providing excellent customer service and ensuring patient satisfaction.
• Appointment scheduling and coordination. Schedule and confirm patient appointments, coordinate with medical staff, and manage the appointment calendar.

Operational Support

• Support clinic operations. Assist with various administrative tasks to support the overall operations of the clinic, including registering/discharging patients at the counter, clerical tasks, restocking of clinic supplies and other duties as assigned.

What We Are Looking for

• ITE, Diploma or equivalent; additional certification in Healthcare Administration or related field is a plus.
• Previous experience in a Medical administrative role or similar position is highly preferred.
• Strong organizational and multitasking skills.
• Excellent communication and interpersonal skills.
• Proficiency in using medical software and office applications.
• Knowledge of medical terminology and billing practices.
• Ability to work independently and as part of a team.
• High level of discretion and confidentiality.

We regret to inform that only shortlisted applicants will be notified for an interview.

To learn more about our Organization, please visit https://www.alliancehealthcare.com.sg.