Insurance Coordinator
5 days ago
Based in Sharjah, an immediate opportunity has arisen for an Insurance Coordinator at a leading radiology and daganostc centre.
We are looking for a responsible, skilled and committed professional with at least two-three years experience in the United Arab Emirates in a busy clinical environment.
Mandatory Requirements:
- Able to join immediately.
- 2-3 or above years of experience as an insurance coordinator in the healthcare domain.
- UAE experience is a must.
- Must have knowledge of ICD-10 and CPT coding guidelines.
- Coordinating with insurance companies regarding eligibility, approvals, submission, resubmission and reconciliation, and other requirements.
- Responsible for obtaining information on new policies and their coverage from insurance companies.
- Maintaining data on the status of approvals/authorizations.
- Review all documents received and enter data in the HIS ensuring a high level of accuracy.
- Actively attend promptly and courteously to all calls related to policy coverage details of patients.
- Must be well-versed in DHA insurance protocols
- Knowledge about the reimbursement process of insurance companies.
- Maintains strict confidentiality related to medical records and other data.
- Processing and submitting of claims (submission and resubmission) with proper data capture and checking all parameters before submission/resubmission of a claim through HIS or Riayati Portal.
- Assisting the Line Manager in preparing/reviewing reports, insurance contracts, aging, and/or other weekly and monthly reports as per the requirements.
- Able to accurately assess eligibility as per guidelines and policy boundaries.
- Ensure adherence to TATs for submission and resubmission of claims.
- Achieving any targets assigned by the Line Manager on a daily, weekly, or monthly basis.
- Daily monitoring of approvals in the queue and following up on them.
- Detail-oriented, problem-solver, and organized.
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