Purpose and Scope of the Job
Under the supervision of Head of the Dept. the case management Team leader
will be responsible for utilizes problem solving, analytical, written and
verbal communication skills to deliver timely and monitoring appropriate
claims submission by the team while providing superior customer service to all
internal and external customers, also to deal with external insurance
companies and internal insurance dept.
Main Duties and Responsibilities/Performance Standards
1
Responsible to keenly monitoring of submission of claims by the staff on daily
basis.
2
Proactively develop and follow up on an appropriate plan of action for pending
and ongoing disability claims.
3
Adheres to established Reception departmental policies and procedures and
initiates
action in attending to the patients as per established procedures
4
Responsible for being courteous and prompt in attending the patient, with the
basic idea of
"rendering service with a smile"
5
Verify all insurance information obtains from the insurance section, and in
overall responsible for insurance accurateness and performing related work as
required.
6
Verifies all insurance benefits assigned to the clinic to determine insurance
coverage meets the standards as per the company and/or policy
7
Check and monitor the updating of insurance data base in line with each
medical insurance policy.
8
Ensure all the employees of the Dept. are oriented with Insurance terms &
conditions and policy and procedures. Staff training
9
Maintains departmental records and files, and takes care of departmental
equipment
10
Participates in departmental meetings and related in-service educational
programs
11
Perform miscellaneous job-related duties as assigned.
**QUALIFICATIONS, EXPERIENCE AND SKILLS** * Graduated from Faculty of commerce English section, Major: accounting. * Minimum experience 4 Years in the Same field * Strong accounting background * Fin-tech experience * Certified CMA is preferable * detailed knowledge with respect to …
Qualification: * Bachelor degree in Nursing, Medical Applied Sciences or an equivalent field in one of the applied medical specialties Experience: * Two years' experience in the same field.
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