Job Description
- Assisting, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
- Responsible for Assisting and supporting initiatives relative to the evaluation, processing, and handling of claims for the outpatient department.
- Acts as a liaison between the department, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.
- Responsible for filing and tracking insurance claims and informing department staff of their patient’s claims status
- Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
- Process insurance claims in a timely manner
- Maintains strict confidentiality related to medical records and other data
- Ensuring coverage of claims, guiding staff for correct usage of claim forms, approval papers
- Interact on a daily basis with doctors, and Therapists (PT OT, SLP) to insure accuracy and completion of billing
- Assisting with insurance companies for obtaining information on new policies and their coverage.
Responsibilities
- Assisting, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
- Responsible for Assisting and supporting initiatives relative to the evaluation, processing, and handling of claims for the outpatient department.
- Acts as a liaison between the department, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.
- Responsible for filing and tracking insurance claims and informing department staff of their patient’s claims status
- Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
- Process insurance claims in a timely manner
- Maintains strict confidentiality related to medical records and other data
- Ensuring coverage of claims, guiding staff for correct usage of claim forms, approval papers
- Interact on a daily basis with doctors, and Therapists (PT OT, SLP) to insure accuracy and completion of billing
- Assisting with insurance companies for obtaining information on new policies and their coverage.
Qualifications
| 8. QUALIFICATION, EDUCATION AND EXPERIENCE | ||
| ESSENTIAL | PREFERRED | |
| Education | Recognised degree or diploma in Insurance and Claims | B.Sc Degree or Masters Degree |
| Experience | Meticulous attention to detail with the ability to multi-taskExcellent English language skills, Arabic would be an advantageExperience working with diverse populations in multicultural settingsExcellent interpersonal and communication skillsExcellent documentation, communication and IT skills Passionate about healthcare excellence | 2-3 years Insurance or claims experience in a clinic or hospital setting Knowledge of ICD and CPT billing codes |
| Job Specific Knowledge and Skills | Working knowledge of medical terminology Familiar with standard concepts, practices, and procedures in Medical Insurance | Strong organisational, administrative and planning skills |
