Insurance Team Leader

7 days ago

Sharjah, United Arab Emirates NMC Healthcare Full time

Performing all the required duties of Insurance Team leader (Insurance Approvals) and Pharmacy Coding simultaneously. Keep Hospital Information System up to date as per UAE Drug Code. Update for corrections in selling price announced as and when notified by Health Authority. Map the dispensing drugs with Drug Code up to the granular units and updates recommended by Healthy Authority. Provide correct and timely information about the blocked/ deleted / about to be blocked medicines by the regulatory to Pharmacy In-charge. Co-ordinate with Information Technology Department to manage necessary reports about Drug Code notifications and other updates. To ensure that the reports on Drug Code notifications are received in timely manner Ensure all the medicines (Inpatient &: Outpatient) are as per Ministry of Health Price and appropriately coded to the Drug Code with respect to formulation, granular unit, and Drug Code price. Medicines with " No Codes" to be mapped. Find out Pharmacy Benefit Management related issues by coordinating with Front Desk Pharmacists and discussing solutions within the Department and/or Finance/Revenue Cycle Management. Make sure the proper validation of approval codes and any other required information in lnsta software. Coordinate with billing team for efficient and smooth flow of required information and coordination with Pharmacy Staff for rectification of the raised queries. Coordinate with Pharmacy and ensuring that approval copy is sent to back office without delay. Assist Pharmacy In charge in taking necessary steps to formalize imported and/ or not listed medicines in Liaison with the Health Authority and for updating Drug Code list with Codes. Liaise with the concerned department of Health Authority and/or Ministry of Health for speedy efficient process of the requested approvals and/ or related requests necessary for Pharmacy Operations. Bachelor's degree

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