Description
Job Summary:
This role involves supporting medical operations through scheduling, administrative tasks, record management, and patient guidance for healthcare services.
Key Highlights:
1. Administrative support and appointment scheduling
2. Medical record management and health insurance authorization handling
3. Beneficiary guidance and issuance of referral forms
**Description:**
**Mandatory:**
Completed High School Education
**Desirable:**
Basic knowledge of Microsoft Office suite
Locate scheduled appointments and confirm consultations;
Issue referral forms in the system for examinations performed at service providers lacking an authorization module;
Guide beneficiaries regarding inquiries and clarifications related to service providers, appointments, etc.;
Complete necessary forms for medical consultations and organize required documents for such consultations;
Register beneficiary biometric data in the system to verify eligibility for future consultations;
Insert data into the TISS document \- Health Information Exchange in Supplementary Health; Request authorizations via telephone or the other operators' service portals, as needed;
Open files for other health insurance plans in the system for subsequent billing;
Forward examination/procedure requests requiring medical audit review;
Assemble medical folders by organizing required 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 physical records (retrieve, organize, and file medical records);
Track returned medical records after consultations;
Reschedule appointments by contacting patients when physician absences occur;
Perform other related duties as directed by supervisors.
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