Diagnostic Centers jobs

1. Patient Assistance & Verification

• Verify patient identity, membership validity, and coverage eligibility with respective HMO providers.
• Explain coverage benefits, limits, deductibles, and exclusions clearly to patients and their families.
• Assist patients with completing required intake forms and submitting medical clearance documentation.

2. LOA & Authorization Processing

• Process and request Letters of Authorization (LOA) from HMO partners for outpatient consultations, laboratory tests, diagnostic imaging, or inpatient admissions.
• Coordinate pre-authorization requirements for emergency room admissions, specialized surgeries, or expensive diagnostic procedures.

3. Billing, Claims & Documentation

• Ensure medical charts, clinical summary forms, physician signatures, and itemized billing statements meet HMO claim guidelines.
• Prepare and organize billing claims for submittal to HMO accounting/claims departments for timely hospital reimbursement.
• Manage credit and collection processes related to HMO guarantee letters and co-payments.

4. Hospital & HMO Coordination

• Maintain communication with HMO liaison officers, accounts managers, and accredited hospital physicians.
• Track daily patient census and prepare monthly HMO utilization and coverage reports for hospital management.
• Keep hospital staff updated on current HMO policy changes, accredited doctor rosters, and approval protocols.

Benefits:

• Additional leave
• Company Christmas gift
• Company events
• Employee discount
• Free parking
• On-site parking
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Work Location: In person