Job Description
Job Description
Responsible for performing pre-certification; prospective, concurrent and retrospective review of hospitalization; and to ensure that cost containment measures are carried out without compromising on the care quality and service standards.
Roles and Responsibilities
- To support and lead a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company’s requirements and guidelines.
- To ensure quality audits are done for the respective team members.
- To pre-certify cases for issuance of guarantee letter in compliance to Company’s requirements and guidelines assist the team target productivity benchmark.
- To ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned.
- To assist in the assignment and monitoring of all documents received in their respective team’s queues.
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