Job Summary: Professional responsible for receiving and providing humanized support to patients and visitors, delivering information, directing them appropriately, scheduling appointments, and managing health insurance plan-related matters. Key Highlights: 1. Humanized service to patients and visitors. 2. Management of health insurance plans and appointments. 3. Essential support in daily hospital operations. **GENERAL DESCRIPTION:** * Receive and provide supportive services to patients, clients, and/or visitors for clinical appointments across various modalities in a humanized manner, delivering necessary information and clarifications; * Provide telephone support and supply information to patients, clients, and the general public; * Direct patients, clients, and/or visitors to the appropriate department or professional according to their needs; * Guide patients on required procedures, such as form completion, referral for exams, admissions, or consultations, in accordance with internal guidelines and protocols. * Inform patients about their health insurance plans, coverage, authorized procedures, and other relevant information related to health insurance plans. * Resolve doubts and issues related to patients' health insurance plans, acting as an intermediary between the patient, the health insurance plan, and internal departments of the healthcare institution. * Identify and verify required documentation for health insurance plan services, including membership cards, prior authorizations, physician referrals, among others. * Verify and validate patients' health insurance plans, checking eligibility, coverage, and limitations to prevent billing issues and ensure proper use of services by patients. * Schedule consultations, exams, and procedures, considering patients' preferences and availability, as well as institutional criteria. * Stay updated on health insurance plan policies, as well as internal procedures and guidelines related to hospital services. * Monitor patients' and/or clients' billing processes and forward relevant information to the administrative department; * Comply with internal security regulations, verifying documents and the identity of patients and/or clients, and notifying security personnel about unfamiliar individuals. **REQUIRED QUALIFICATIONS:** * Completed high school education; * Knowledge of health insurance plans and hospital reception routines; * Experience with MV system is a plus; * Availability for 12x36 rotating shifts, both daytime and nighttime (7 a.m. to 7 p.m. and 7 p.m. to 7 a.m.)
João Silva
Indeed · HR
João Silva
Indeed · HR
