Pharmacy Insurance Coordinator

1 week ago


Dubai, Dubai, United Arab Emirates American Hospital uae Full time
Responsibilities:
  • Quality and Accuracy
  • Coordination with appropriate personnel to ensure formalities with insurance companies are followed to minimize objections and delays.
  • Patient Relations
  • Nursing
  • Physicians
  • Monitoring and follow-up on prior E-authorization for outpatient/inpatient services.
  • Take approval for prescriptions from Outpatient clinics
  • Send and follow-up for E-claim prescriptions
  • Monitor approvals from waitlist in Meditech.
  • Work under immediate manager's supervision
  • Monitor pending list daily
  • Complete knowledge of insurance policies and protocols
  • Prioritize accurate and appropriate work
  • Identify and resolve problems, apply sound judgment and take responsibility.
  • Inform and influence others clearly and concisely in verbal and written communication.
  • Quantity /Organizational Skills
  • E-claims follow-up within 48 hours.
  • Handle complaints feedback within 24 hours
  • Manage Email inquiries within 24 hours
  • Set priorities to support department needs and follow policies and procedures.
  • Request for out-patient to be sent within the same day
  • Perform assigned tasks as required.
QUALIFICATIONS
  • Pharmacy diploma or equivalent
  • Minimum of two years' experience in Outpatient Pharmacy field.


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