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Healthcare Manager with Insurance

7 months ago

Dubai, United Arab Emirates Polyclinics Group LLC Full time

Coordinate with Insurance Companies for enhancement of network & contracts.
Coordinate with departments within the hospital to ensure all protocols of authorizations, claims and other contractual arrangement for direct billing agreed with the hospital are met in a timely manner.
Assist the revenue cycle department in resolving revenue cycle problems. Supervise and oversee staff in duties pertaining to patient billing, communications with health insurance, collections, account management & reconciliations.
Reviewing procedures, orientation of the concerned and co-ordination with following appropriate personnel to ensure that all formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies.
Coordination with Physicians & other personnel to ensure that all the formalities as agreed with the insurance companies along with meeting patient care standards based on evidence based practice.
Ensure timely authorizations, submission, resubmission and reconciliation.
Analyze rejection reasons & trends for appropriate action.
Evaluate trend of Physicians Billing Practices to so discussions can be held with them to improve documentation and reduce rejection and reconciliations.
Work in coordination with the Asst Manager E Claims for E claims submission in line with submission timelines as per contracts with Insurance companies.
Anticipates and sets priorities to support department needs and revise policies and procedures for achieving them.
Inform and influence others by clear, concise expression of ideas and information in verbal and written as appropriate.
Business reports and statistics of the departmental related services.

**Job Types**: Full-time, Part-time

**Salary**: AED5,000.00 - AED7,000.00 per month

Ability to Commute:

- Dubai (required)

Ability to Relocate:

- Dubai: Relocate before starting work (required)