Insurance Coordinator
2 months ago
Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines.
- Coordinating with any requirements from Insurance companies and following insurance protocols
- Processes & tracks insurance claims, informs employees of the status of their claims, and prepares insurance statements.
- Checking all the coverage and membership eligibility
- Verifies all medical codes are accurately updated in the system, highlights any inconsistencies for correction.
- Informing front desk staff for any new protocols received from insurance companies.
- Ensuring approvals are received with correct details
- Ensure that the invoices are correctly done in line with what is approved
- Co-ordination OP cases regarding various CPT codes used for accurate and effective billing
- Generates detailed reports with regards to insurance, e-claims, and medical center transactions.
- Ensuring Pre-approval process is done as per the MOH & DHA coding guidelines
- Ensure a filing system for medical records is in place and records are kept updated.
- Maintains strict confidentiality related to medical records and other data.
- Provides coordination & administrative support and deputizes as Receptionist when required.
- To liaise with patients regarding their eligibility, entitlements, and coverage of medical benefits
- Assist on submitting the claims on timely manner
- **Requirements**:
1+ years of work experience in a similar role within outpatient and/or inpatient clinic, hospital, medical centre etc
- Experienced in processing insurance for claims submission and resubmission, preparation of reports and coordination with medical service providers.
- Bachelor's degree or equivalent.
- Proficient in MS Excel and Word and experienced in using e-claim/ database systems.
- Own visa / Sponsors visa
**Job Types**: Full-time, Permanent, Fresher
Pay: AED3,000.00 per month
**Education**:
- Bachelor's (preferred)
**Experience**:
- Equivalent: 1 year (preferred)
License/Certification:
- Bachelor degree or Equivalent (preferred)
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