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Funciones del cargo:

Verificación de Pólizas de los pacientes para autorizar el ingreso al área de emergencia
Coordinar la atención del paciente con las enfermeras, residentes y especialistas de la clínica
Elaborar el expediente para enviarlo a la aseguradora para la aprobación de presupuestos y pagos de factura
Coordinar las operaciones del día en el área de quirófano para que todo el personal involucrado en dicha operación este en el área a la hora correcta
Cobro de servicio cuando el paciente no está asegurado y lo hace de forma particular
Pago de la nomina (entrega de cheques) a los empleados de mi turno
Velar por el cumplimiento de las normas dentro de la clínica en las horas de guardia
Gestionar medicamentos con las farmacias cuando no había en almacén

Supervisora Integral de Contact Center en el area de HCM, Vial, Banco, servicios funerarios - Foncus Contact Center - Banvalor

Funciones del cargo:

Supervisar el trabajo de los analistas del área de clave de emergencia HCM, vial, Banco, servicios funerarios
Aprobación de ingresos de los asegurados al área de emergencia de las clínicas
Aprobación de presupuestos por gastos de emergencia, hospitalización y cirugía
Análisis de documentos enviados por las clínicas para la aprobación del ingreso del asegurado
Aprobación de monto final para el pago de los servicios prestados al asegurado
Apoyar en la gestión de los analistas de vial para auxiliar al asegurado en caso de fallas de su automóvil, llamando a los proveedores de grúas
Aprobación de monto por servicio de grúa
Apoyar la gestión del analista de funeraria aprobando la verificación de la póliza y autorizando el servicio
Bloqueo de chequeras o tarjetas de Crédito/Debito por robo o extravió
Realizar preguntas de seguridad para conformación de cheques con montos mayor a los permitidos
Apoyar la gestión del analista de banco para bajar el volumen de llamadas en el área de reclamos o consulta de saldo

Analista integral I en el area de Clave de Emergencia a Nivel Nacional - Grupo Pronto HCM ( Seguros : Altamira , Federal , La Previsora, Iberoamericana, Consultsalud, Atrios )

Funciones del cargo:

Análisis de documentos enviados por las clínicas para autorizar ingresos a los asegurados al área de emergencia, hospitalización y cirugía.
Negociar el valor de los presupuestos por los costos de ingreso o de atención prestada en emergencia.
Seguimiento de los días de hospitalización del asegurado solicitando paraclinicos, evolutivos, corte de cuenta.
Aprobación del monto final por los servicios prestado por la clínica al asegurado y reportar el pago a el departamento correspondiente para la cancelación del mismo.
Comunicarme vía chat con los proveedores de servicio (las clínicas) para informar el seguimiento del caso o solicitar algún recaudo para la aprobación del ingreso, extensión o egreso del paciente.
Atender sala situacional (vía telefónica) para solucionar inconvenientes con algún paciente por falta de atención en emergencia de cualquier centro de salud afiliado a la red de servicios.

Analista Integral de gestion Remota en el area de Clave de Emergencia a Nivel Nacional

Funciones del cargo:

Las mismas funciones del cargo anterior pero de forma remota

Administradora General (Area Operativa) - Servicio de la Salud Blue 5929 C.A.

Funciones del Cargo:

Coordinar personal en la gestión remota
Entrenamiento de analistas remotos
Auditoria de casos analizados por el personal remoto
Realizar la estadística del mes de la cantidad de los casos procesados
Evaluar el rendimiento del área operativa y mejorar procesos para un mejor desempeño
Indicar los lineamientos al personal remoto","rawText":"Supervisora en el area de Admision - CentroMedico Miranda Funciones del cargo: Verificación de Pólizas de los pacientes para autorizar el ingreso al área de emergencia Coordinar la atención del paciente con las enfermeras, residentes y especialistas de la clínica Elaborar el expediente para enviarlo a la aseguradora para la aprobación de presupuestos y pagos de factura Coordinar las operaciones del día en el área de quirófano para que todo el personal involucrado en dicha operación este en el área a la hora correcta Cobro de servicio cuando el paciente no está asegurado y lo hace de forma particular Pago de la nomina (entrega de cheques) a los empleados de mi turno Velar por el cumplimiento de las normas dentro de la clínica en las horas de guardia Gestionar medicamentos con las farmacias cuando no había en almacén Supervisora Integral de Contact Center en el area de HCM, Vial, Banco, servicios funerarios - Foncus Contact Center - Banvalor Funciones del cargo: Supervisar el trabajo de los analistas del área de clave de emergencia HCM, vial, Banco, servicios funerarios Aprobación de ingresos de los asegurados al área de emergencia de las clínicas Aprobación de presupuestos por gastos de emergencia, hospitalización y cirugía Análisis de documentos enviados por las clínicas para la aprobación del ingreso del asegurado Aprobación de monto final para el pago de los servicios prestados al asegurado Apoyar en la gestión de los analistas de vial para auxiliar al asegurado en caso de fallas de su automóvil, llamando a los proveedores de grúas Aprobación de monto por servicio de grúa Apoyar la gestión del analista de funeraria aprobando la verificación de la póliza y autorizando el servicio Bloqueo de chequeras o tarjetas de Crédito/Debito por robo o extravió Realizar preguntas de seguridad para conformación de cheques con montos mayor a los permitidos Apoyar la gestión del analista de banco para bajar el volumen de llamadas en el área de reclamos o consulta de saldo Analista integral I en el area de Clave de Emergencia a Nivel Nacional - Grupo Pronto HCM ( Seguros : Altamira , Federal , La Previsora, Iberoamericana, Consultsalud, Atrios ) Funciones del cargo: Análisis de documentos enviados por las clínicas para autorizar ingresos a los asegurados al área de emergencia, hospitalización y cirugía. Negociar el valor de los presupuestos por los costos de ingreso o de atención prestada en emergencia. Seguimiento de los días de hospitalización del asegurado solicitando paraclinicos, evolutivos, corte de cuenta. Aprobación del monto final por los servicios prestado por la clínica al asegurado y reportar el pago a el departamento correspondiente para la cancelación del mismo. Comunicarme vía chat con los proveedores de servicio (las clínicas) para informar el seguimiento del caso o solicitar algún recaudo para la aprobación del ingreso, extensión o egreso del paciente. Atender sala situacional (vía telefónica) para solucionar inconvenientes con algún paciente por falta de atención en emergencia de cualquier centro de salud afiliado a la red de servicios. Analista Integral de gestion Remota en el area de Clave de Emergencia a Nivel Nacional Funciones del cargo: Las mismas funciones del cargo anterior pero de forma remota Administradora General (Area Operativa) - Servicio de la Salud Blue 5929 C.A. 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