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    Utilization Review Nurse

    Full-Time
    Bangkok, Thailand
    Posted: September 4, 2024
    Position Details

    About the job

    Patient Advocate:

    -Assist patients in utilizing their insurance benefits for treatment at MedPark Hospital.

    -Clearly explain insurance coverage details and answer any related questions.

    -Provide guidance on optimizing claims processing for faster approval.


    Coverage Verification:

    -Meticulously review all patient charges to ensure accuracy.

    -Verify patient benefit details through the provider portal.


    Pre-Authorization Specialist:

    -Gather and prepare medical documentation for pre-authorization of surgeries or admissions.

    -Electronically submit required documents to insurance companies via fax and email.

    -Proactively follow-up on guarantee of payment letters through phone calls and emails.

    -Coordinate with internal departments to ensure timely completion of all necessary reports and document requests.

    -Clearly communicate coverage information to patients.



    Skills
    Utilization Management
    Patient Advocacy
    Medicare
    Discharge Planning
    Utilization Review

    Functions
    Other
    Other

    Job Overview

    Job Type:

    Full-Time


    Company

    MedPark Hospital logo

    MedPark Hospital

    49 active jobs

    Industry:

    Healthcare & Pharmaceutical

    Ready to Apply?

    Submit your application now and take the next step in your career journey.

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