Description
Job Summary:
Professional responsible for assisting with appointment scheduling and confirmation, issuing referral forms, guiding beneficiaries, performing registrations, and organizing medical documents.
Key Highlights:
1. Essential support in appointment scheduling and medical information management
2. Responsibility for issuing referral forms and guiding beneficiaries
3. Organization and maintenance of medical files and documents
**Description:**
**Mandatory Requirements:**
Completed high school education.
Locate appointments and confirm consultations; Issue referral forms in the system for examinations at service providers lacking an authorization module; Guide beneficiaries regarding questions and clarifications about providers, appointments, etc.; Complete necessary forms for medical consultations and sort related forms accordingly; Register beneficiary biometrics in the system to verify eligibility for future consultations; Enter data into the TISS document \- Health Information Exchange in Supplementary Health; Request authorizations via telephone and/or other operators' service portals when required; Open records for other health plans in the system for subsequent billing; Forward examination/procedure requests requiring medical audit; Assemble medical folders by sorting necessary forms for medical consultations; Close daily statistics for consultations and examinations and enter into the system the quantities of examinations and medical certificates requested/issued by physicians; Maintain files (retrieve, organize, and archive medical records); Track returned medical records after consultations; Reschedule appointments by contacting patients in cases of physician absences; Perform other related duties as assigned by supervisors.
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