Insurance Consultant
5 months ago
**Responsibilities**:
- Communicate to administrators any problems with their clients;
- Monitor alerts in all registries for all locations;
- Send out initial Attending Physician Statements/ Plan of Care for all new clients to the physician office for approval/signature by physician;
- Ensure the 4 month follow-up nursing assessment is completed on all clients for insurance companies that have this requirement;
- Mail out claim forms to clients as required for processing claims;
- Communicate with the matrix department to set up approved services for clients authorized by the insurance company;
- Send annual or bi-annual HIPAA form to all clients in order to meet compliance guidelines for Privacy Health Information (PHI);
- Follow-up with local office to ensure initial assessments for new clients are scheduled based upon the initiation of claim or the start of care (SOC);
- Send change form to physician for increases and decreases in service as needed on case by case basis;
- Speak professionally on the phone with clients and insurance companies in reference to Long Term Care (LTC) Insurance Plans;
- Work with Case Managers from insurance company to ensure clients are following authorized hours.
**Salary**: AED10,000.00 - AED110,000.00 per month
Ability to commute/relocate:
- Dubai: Reliably commute or planning to relocate before starting work (required)
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