Insurance Coordinator
5 months ago
Providing support and guidance to team members regarding insurance processes, policies and procedures, Pre-approvals, Payers, Member IDs etc.
- Addressing queries, concerns, and complaints raised by payers/TPA.
- Excellent working knowledge of Eclaim submission portal, HCPCS codes and Payers/TPAs.
- Claim validation and E-claim Submissions on DHPO/Shafafiya/Riayati portal as per DHA/DOH/MOH guidelines on a timely manner.
- Coordinate with other departments including finance to ensure timely receipt of claims payments and follow up with TPA/payers for resubmissions.
- Maintaining accurate data for submitted claims, pending claims and all insurance processes.
- Providing insights and recommendations to enhance the efficiency and effectiveness of the insurance process.
- Track & maintain sales report for direct billing and reimbursement.
**PROFILE**:
- Strong Attention to detail
- Excellent verbal and written communication
- Time management with expert system skills
- Good Interpersonal skills
- Good understanding of retail brands
- Ability to work under pressure and stringent timelines
- Expert in MS-office
- Must be Graduate with 2-3 years of work experience
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