Bachelor of Science(Nursing), Master of Science(Nursing)
Nationality
Any Nationality
Any
Vacancy
1 Vacancy
Job Description
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.
Desired Candidate Profile
ESSENTIAL
- Recognized degree or diploma in Insurance and Claims
- Meticulous attention to detail with the ability to multi-task
- Excellent English language skills, Arabic would be an advantage
- Experience working with diverse populations in multicultural setting
- Excellent interpersonal and communication skills
- Excellent documentation, communication and IT skills
Job Specific Knowledge and Skills
- Working knowledge of medical terminology
- Familiar with standard concepts, practices, and procedures in Medical Insurance
PREFERRED
- Bsc Degree or Masters Degree
- 2 to 3 years Insurance or claims experience in a clinic or hospital setting
- Knowledge of ICD and CPT billing codes
- Strong organisational, administrative and planning skills