Medical Insurance Coordinator
1 week ago
**Requirements & Skills**:
- **Insurance Knowledge**:
- Strong understanding of network agreements with various insurance companies.
- Ability to verify medical requests based on patient conditions and determine pre-approval requirements.
- **Claims Processing**:
- Experience in processing claims within a medical setting.
- Proficiency in medical coding (e.g., ICD-10, CPT).
- **Communication & Coordination**:
- Excellent communication and interpersonal skills (verbal and written).
- Ability to liaise effectively with patients, doctors, and insurance companies.
- Strong negotiation and problem-solving skills.
- **Record Keeping & Auditing**:
- Meticulous record-keeping of approvals, rejections, and claim submissions.
- Ability to audit invoices for accuracy before submission.
- **Technical Skills**:
- Proficiency in using relevant software and systems for claims processing.
- **Other**:
- Minimum 2 years of experience in medical billing or insurance coordination.
- All nationalities are encouraged to apply.
**Responsibilities**:
- Verify medical requests from doctors and determine pre-approval requirements based on insurance policies.
- Obtain necessary approvals from insurance companies for procedures and treatments.
- Process claims accurately and timely within the designated system.
- Audit invoices before submission to insurance companies.
- Coordinate with insurance companies on queries related to approvals, claims, and payments.
- Communicate approval/rejection status to patients and address their concerns.
- Handle patient inquiries regarding insurance coverage and approvals.
- Maintain accurate records of all approvals, rejections, and claim submissions.
- Ensure compliance with all relevant insurance regulations and guidelines.
- Conduct training sessions for team members on insurance procedures and best practices.
- Resolve billing and payment issues for clients.
- Stay updated on industry changes and best practices in medical billing and insurance.
**Job Types**: Full-time, Permanent
Pay: AED2,500.00 - AED4,000.00 per month
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