Patient Service Department (PSD) Officer
Globemed Qatar LLC
Total des années d'expérience :13 years, 7 Mois
Process approval of In and Out Patient Services from Hospitals and Clinics via Online
and Email
* Customer Service Support via Inbound Calls coming from providers, insured members
and insurance companies
Receives and enters all pertinent data of Medical Claims (locally- within KSA) which
includes Member ID Number, File Number, Date of Consultation, Type of service,
Approval ID Number, Invoice Number, Admission and Discharge dates if Inpatients via
PAMS systems powered by CITRIX.
* Ensures correct entry of services based on codes and pricelist.
* Confirms all Medical Services, Consultations and Medication claims matched the
Statement of Account (SOA) provided.
* Submission of Claim Batches for Medical Review by Doctors.
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QBE GSSC (Australian Insurance Company - Worker’s Compensation - Claims)
Net Cube Building,
Wage processing upon successful verification of claim for NSW Worker’s Compensation
in Australia.
* Process reimbursements for Claim for Expenses (C4E) New South Wales (NSW) and
Active States (AS) claims in Australia.
* Cross-trained for Medical Certificates Team - encoding/verification.
QA Apprentice (August 14, 2014)
* Conducts daily QA evaluation for NSW Wage Payment Officers.
Collections task: processes payments and provides extension for Past Due accounts
* Credits and Activations task: Reviews application for Postpaid account of new and
existing customers; Activate lines for customer’s account
Inbound Agent
* Receive calls from Cisco’s Distributors and Customers
* Create and route or process cases per call
* Assists the customers especially on Booking requests
ext.
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