Insurance Coordinator

؜ - ؜الإمارات ؜ -

Job details


  • Providing support and guidance to team members regarding insurance processes, policies and procedures, Pre-approvals, Payers, Member IDs etc.

  • Addressing queries, concerns, and complaints raised by payers/TPA.

  • Excellent working knowledge of Eclaim submission portal, HCPCS codes and Payers/TPAs.

  • Claim validation and E-claim Submissions on DHPO/Shafafiya/Riayati portal as per DHA/DOH/MOH guidelines on a timely manner.

  • Coordinate with other departments including finance to ensure timely receipt of claims payments and follow up with TPA/payers for resubmissions.

  • Maintaining accurate data for submitted claims, pending claims and all insurance processes.

  • Providing insights and recommendations to enhance the efficiency and effectiveness of the insurance process.

  • Track & maintain sales report for direct billing and reimbursement.


PROFILE



  • Strong Attention to detail

  • Excellent verbal and written communication

  • Time management with expert system skills

  • Good Interpersonal skills

  • Good understanding of retail brands

  • Ability to work under pressure and stringent timelines

  • Expert in MS-office

  • Must be Graduate with ‎2-‎3 years of work experience

Job Summary

  • Advertiser: Rivoli Group
  • Announcement date: 12/07/2023
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Salary: -
  • Phone number: -

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