Insurance Claims Coordinator (Healthcare)

Join PT. Sehat Sejahtera Klinika, a leading healthcare provider in Bali, as our Insurance Claims Coordinator. In this vital role, you will serve as the bridge between our patients, medical staff, and insurance providers, ensuring seamless claims processing and excellent patient care. Based in Canggu, Ubud, Denpasar, Jimbaran, Nusa Dua, Kuta, Badung, Bali, this position offers a unique opportunity to contribute to a dynamic and growing healthcare organization.

As an Insurance Claims Coordinator, you will handle all aspects of claims processing, from initial submission to final approval, using our in-house system and various insurance provider platforms. Your daily tasks will include verifying patient eligibility, gathering necessary documentation, and coordinating with medical staff to ensure accurate and timely claims submission. You will also play a key role in resolving any discrepancies or denials, working closely with our team to ensure patient satisfaction and financial recovery.

📋 Tanggung Jawab Pekerjaan

Key Responsibilities:

• Process and manage insurance claims for patients, ensuring accuracy and compliance with insurance policies and regulations.
• Verify patient eligibility and gather necessary documentation for claims submission.
• Coordinate with medical staff to ensure all required information is provided for claims processing.
• Resolve any discrepancies or denials in claims, working closely with insurance providers and patients.
• Maintain and update patient records and claims information in our in-house system.
• Maintain accurate and up-to-date records of all claims processed.
• Provide excellent customer service to patients and medical staff, addressing any concerns or questions regarding claims.
• Stay informed about changes in insurance policies and regulations, and ensure our claims processing procedures are up-to-date.

🎓 Kualifikasi & Syarat

Kualifikasi & Syarat:

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field.
• Minimum 2-3 years of experience in insurance claims processing, preferably in the healthcare industry.
• Proficient in using insurance claims processing software, such as Claims Management System (CMS) or similar platforms.
• Strong knowledge of insurance policies, regulations, and compliance requirements.
• Excellent communication and interpersonal skills, with the ability to work effectively with patients, medical staff, and insurance providers.
• Attention to detail and the ability to manage multiple tasks and deadlines.
• Fluency in both English and Bahasa Indonesia.
• Valid driver's license and reliable transportation.

🛠️ Keahlian

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