Medical Benefits Coordinator - Healthcare Support Specialist

Join Ambulatory Health Care Institute Incorporated as a Medical Benefits Coordinator in the vibrant heart of Bali! This is a unique opportunity to play a pivotal role in ensuring seamless healthcare benefits administration for our patients and clients. If you are passionate about healthcare and have a knack for managing complex benefits processes, we want to hear from you. As a Medical Benefits Coordinator, you will be the backbone of our healthcare support team, working closely with our patients, insurance providers, and healthcare professionals to ensure that everyone receives the care they need, when they need it.

Ambulatory Health Care Institute Incorporated is a leading healthcare provider in Bali, known for our commitment to excellence and our patient-centered approach. We are a dynamic and growing organization, and we are looking for a talented and dedicated Medical Benefits Coordinator to join our team. In this role, you will use our state-of-the-art benefits management system, which includes tools like BlueCross BlueShield, UnitedHealthcare, and Cigna. You will be responsible for processing claims, verifying eligibility, and resolving any issues that may arise. Your day-to-day tasks will involve working with a variety of stakeholders, from patients and their families to insurance companies and healthcare providers.

📋 Tanggung Jawab Pekerjaan

• Manage and process healthcare benefits claims for patients and clients, ensuring accuracy and compliance with insurance policies.
• Verify patient eligibility for healthcare benefits and coordinate with insurance providers to ensure timely approvals.
• Assist patients and clients with understanding their benefits coverage and resolving any issues or disputes.
• Maintain and update patient records in our benefits management system, ensuring data accuracy and confidentiality.
• Collaborate with healthcare professionals to ensure that patients receive appropriate and timely care.
• Stay up-to-date with changes in healthcare regulations and insurance policies, and ensure that our benefits administration processes comply with these changes.
• Provide exceptional customer service to patients and clients, addressing their questions and concerns in a professional and compassionate manner.
• Participate in team meetings and contribute to the continuous improvement of our benefits administration processes.

🎓 Kualifikasi & Syarat

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of 3 years of experience in healthcare benefits administration, with a strong understanding of insurance policies and claims processing.
• Certification in healthcare benefits administration (e.g., Certified Benefits Administrator (CBA) or Certified Professional in Healthcare Claims Processing (CPHCP)) is a plus.
• Excellent communication and interpersonal skills, with the ability to build rapport with patients, clients, and healthcare professionals.
• Strong organizational and problem-solving skills, with the ability to manage multiple tasks and priorities.
• Proficiency in using benefits management software, such as BlueCross BlueShield, UnitedHealthcare, or Cigna.
• Knowledge of healthcare regulations and insurance policies, with the ability to stay up-to-date with changes in these areas.
• Ability to work well in a team environment, with a positive attitude and a commitment to providing exceptional customer service.

🛠️ Keahlian

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