I am highly motivated and conscientious, with a proven track record of achievement. I bring positivity, support and a creative mindset to any team. I pride myself in taking ownership of challenging problems, am a good team player, and work as a team to deliver good quality care. I ensure patient safety, comfort and hygiene. Maintain business and patient confidentiality. With a desire and passion for continuous professional development, I am confident I can add value to your organization by ensuring that your patients and clients receive the best care possible.
Certificate
Support to all other departments with customer service and related issues
Subject to agreed criteria, recruitment, training, set action and targets, appraise and manage performance, development, coaching and general support of all team members to ensure targets are met.
reporting (content and format as agreed) every month or as otherwise required.
developing plans for team activities to include strategy to achieve agreed targets.
Delegate authority and responsibility to the team with supervision, accountability and review
Manage and maintain contact with internal and external clients/customers for feedback and to obtain client/customer satisfaction information.
Set an example for team members, customer service knowledge, work ethics and habits and personal character.
direct and manage all the customer service activities, manage and monitor the overall performance of the customer services team.
effective liaison, support and assistance between the customer services department and the rest of the organization
Development of plans for customer service activities to include customer management to achieve satisfaction targets.
Reviewing insurance claims and medical records to ensure that they are complete, accurate, and appropriate for billing
Negotiating with insurance companies to ensure that claims are paid accurately and promptly
Providing information about services to patients so they can make informed decisions about their healthcare needs.
Ensuring that patient accounts are collected accurately and promptly.
Managing account balances and resolving inconsistencies.
Updating accounting records with issued invoices, processed payments, new balances, and customer contact information
creating and issuing invoices to customers.
Processing credit memos.
Preparing account statements for customers.
Following up on outstanding payments and answering customer queries.
Monitoring all costs, preparing monthly billing reports, managing account balances, and resolving inconsistencies.
To process complaints from beneficiaries and coworkers, following established guidelines.
To develop effective policies for all operational procedures
To prepare work schedules
To give proper orientation to patients/clients on the benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals.
To address potential issues with patients and ensure their satisfaction is guaranteed.
To interview and orient new employees.
To monitor the performances of other staff in the Hospital
To interact with the entire HMO community
Maintaining financial records and reconciling bank accounts.
Handling accounts payable and receivable and checking invoices.
Preparing budgets and monitoring expenditures and profits.
Contacting clients and vendors about transactions and queries.
Providing support to administration staff and evaluating internal management systems.