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
