Pharmacy Insurance Coordinator

1 month ago


Dubai, United Arab Emirates American Hospital uae Full time
  • Quality andAccuracy
  • Coordination with followingappropriate personnel to ensure that all the formalities as agreedwith the insurance companies are followed to minimize objectionsfrom them and delays in clarifications to the insurancecompanies:
  • PatientRelations
  • Nursing
  • Physicians
  • Monitoringand follow up on prior E- authorization for outpatient/inpatientservices.
  • Take approval for prescriptions fromOutpatient clinics
  • Send approval and follow upfor E-claim prescriptions
  • Monitor approvalsfrom waitlist in Meditech.
  • Works under thesupervision of the immediate manager
  • Monitorsthe pending list on a daily basis
  • Completeknowledge of insurance policies andprotocols
  • Makes accurate, thorough andappropriate work a priority
  • Identify andanalyze problems, take action to resolve, apply sound judgment andtake responsibility for their resolution
  • Informand influence others by clear, concise expression of ideas andinformation in verbal and written asappropriate.
  • Quantity /OrganizationalSkills
  • E-claims follow-up within 48hours.
  • Complaints feedback to be handled within24 hours
  • Email handling within 24hours
  • Anticipates and sets priorities tosupport department needs and follow policies and procedures forachieving them.
  • Makes accurate, thorough andappropriate work a priority
  • Request forout-patient to be send out within the sameday
  • Performs tasks assigned from time totime.
QUALIFICATIONS
  • Pharmacydiploma or equivalent
  • At least twoyears’ experience in Outpatient Pharmacyfield.

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