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Insurance Coordinator

4 months ago

Sharjah, United Arab Emirates University Hospital Sharjah Full time

**Date**:12 Jun 2023

**Location**: Sharjah, AE

**Company**:University Hospital Sharjah

**Position Summary**:
**Summary of Main Duties**:

- Understand and comply with network agreements between Insurance Companies and UHS.- Verifying the requests from doctors based on the medical conditions and determine whether requires preapproval.
- Maintain record of approvals for requests that require approvals and update them frequently.
- Processing claims in the system on daily basis (If required).
- Auditing the invoices before sending to Insurance Companies.
- Coordinating with Insurance Companies for queries related to medical approvals, claims etc
- Reconciling the claims that are short paid/ rejected with valid medical reports.
- Coordinating with doctors for medical reports and queries from Insurance Companies.
- Liaise with patients and explain approval or rejection.
- Undertake all calls regarding approvals from patients and provide appropriate replies.
- Undertaking the approval and Insurance companies/sponsors as may be applicable.
- Communicate with patient for approval/rejection status of approvals from sponsoring agency (including Insurance).
- Communicate with Insurance companies/sponsors and provide required clarification/do follow up of cases.
- Prepare cost estimate (if assigned) to be sent to insurance companies/sponsoring agencies.
- Comply with jobs that are additionally assigned by manager from time to time.

**Responsibilities**:
**Position Requirements/Qualifications**:
**Requirements/Qualifications**
- Bachelor Degree
- 2 years experience in health insurance.

**Position criteria Other Skills/Abilities**: