Claims Pre-Approval
* Handle Medical Claim Preapproval.
* Liaise with insurance companies to process preapprovals, new insurance policies, modifications to existing policies
* Obtain information from Insurance Companies to verify the accuracy and completeness of information on claims preapproval
* Monthly conclude all preapproval for timely claims submission
* Increase in preapproval & to maintain minimum ratio
* Ensure the adherence to the SLA between Insurance and Billing departments
* Ensure the adherence to the departments SOPs
* Provide advice to the team on clinical aspects in bills/ claims and recommend the solutions.
* Monitor the issues related to the interdepartmental transactions which may affect the quality and TAT for the processes internally on time.
* Managing and coordinating with the team for a smooth revenue cycle completion
Coordination with Submission
* Provide the functional supports for the smooth cycle completion
* Collaborate with the recovery team for on time recovery support and help achieve the targets and DSO levels * Maintain healthy relationship and develop rapport with the insurance companies.
* Discuss with the clinicians/ relations/ billing on the rejections and develop solutions collaboratively.
Reports & Updates
* Circulate updated details of Insurance companies to all units in UAE
* Keep the team members updated on rejections on preapproval on daily basis.
Aster DM Healthcare Limited is one of the largest private healthcare service
providers operating in multiple GCC states and is an emerging healthcare
player in India. With an inherent emphasis on clinical excellence, we are one
of the few entities in the world with a strong presence across primary,
secondary, tertiary and quaternary healthcare through our hospitals, clinics
and pharmacies. We have over 20,000 plus dedicated employees across the
geographies that we are present in, delivering a simple yet strong promise to
our different stakeholders: "We'll treat you well." We reach out to all
economic segments in the GCC countries through our differentiated healthcare
services across the "Aster", "Medcare" and "Access" brands.
For more details please visit our website https://www.asterdmhealthcare.com/
Medcare Hospitals and Medical Centres (Medcare), the premium healthcare
division of Aster DM Healthcare, is one of the pioneering healthcare providers
in the region.
With a focus on delivering a patient-centric journey as well as encouraging
clinical excellence and state-of-the-art care, Medcare operates three multi-
specialty hospitals including Medcare Hospital Safa Park Dubai, Medcare
Hospital Sharjah and Medcare Women and Children Hospital in Dubai and one
specialty hospital Medcare Orthopaedics & Spine Hospital. In addition, it has
three specialty centres and 12 multi-specialty centres in key locations across
Dubai and Sharjah.
With a team of 350+ qualified healthcare professionals, Medcare promotes and
supports the highest standards in preventive, curative and rehabilitative
healthcare.
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