Locum Approvals - IP And OP

American Hospital; Dubai; Vor Ort; AED 120.000 - 180.000; Vollzeit

Zusammenfassung

American Hospital Dubai is looking for an Insurance Liaison to assist the Medical Advisor and Medical Officer on all insurance issues and coordinate with staff and insurance companies with direct billing arrangements with the hospital.

You will monitor and follow up on prior authorizations for outpatient and inpatient services, conduct claims analysis, and reconcile payments with Finance, while applying thorough knowledge of hospital operations and policy compliance.

Qualifikationen

• Bachelor’s Degree in any field, Medical preferred.
• Minimum of three (3) years of experience in a similar field.
• Excellent English verbal and written communication skills.
• Computer literacy is essential.
• Very good understanding of hospital operations.
• Intermediate to Advanced Microsoft Office.
• Strong leadership experience.
• Excellent relationship management.
• Organised and thorough.
• Excellent analytical and organisation.

Aufgaben

• Coordinates with stakeholders to follow insurance formalities to minimize delays.
• Monitors and follows up on prior authorization for outpatient and inpatient services.
• Performs claims analysis before submission to insurance companies by Finance.
• Reconciles claims paid and outstanding with insurance companies and Finance.
• Demonstrates knowledge of requirements of Insurance Companies in the Hospital.
• Sets priorities to support department needs and adheres to policies.
• Identifies problems, takes action to resolve them, and takes responsibility for resolution.
• Supports Hospital and Department policies and procedures.

Kenntnisse

Communication

Leadership

Analytical thinking

Organizational skills

Ausbildung

Bachelor’s Degree (Medical preferred)

Tools

Microsoft Office

Jobbeschreibung

Job Description:

Assists the Medical Advisor and Medical Officer on all insurance issues and coordinates with staff and insurance companies with direct billing arrangements with American Hospital Dubai.

Responsibilities

• Coordinates with stakeholders to ensure that all the formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies:
  • Patient Relations
  • Nursing
  • Physicians
  • Finance
• Monitors and follows up on prior authorization for outpatient services wherever required and all Inpatient services.
• Conducts claims analysis before submission to insurance companies by Finance.
• Reconciles claims paid and outstanding with insurance companies and coordination with Finance.
• Demonstrates functional and business knowledge required for the job and applies that in following the requirements of Insurance Companies in the Hospital.
• Anticipates and sets priorities to support department needs and follows policies and procedures for achieving them.
• Identifies and analyses problems takes action to resolve them, applies sound judgment, and takes responsibility for their resolution.
• Supports the Hospital Policies and Procedures.
• Supports the Department Policies and Procedures.

Qualifications

• Bachelor’s Degree in any field, Medical preferred

PROFESSIONAL EXPERIENCE:

• Minimum of three (3) years of experience in a similar field
• Excellent English verbal and written communication skills
• Computer literacy is essential
• Very good understanding of hospital operations
• Intermediate to Advanced Microsoft Office
• Strong leadership experience
• Excellent relationship management
• Organised and thorough
• Excellent analytical and organisation