Job Requirements & Responsibilities:
- Verify patients’ insurance eligibility and coverage prior to treatment.
- Obtain pre-approvals and pre-authorizations for procedures and services as required.
- Submit insurance claims accurately and in a timely manner through the appropriate portals.
- Follow up on pending, denied, or rejected claims and coordinate resubmissions or appeals.
- Communicate with insurance companies, patients, and healthcare providers regarding claims and coverage issues.
- Maintain accurate and organized records of claims, payments, and reimbursements.
- Generate and submit periodic reports on claim status, revenue, and outstanding balances.
- Proven experience in Hospital Insurance processes and coordination.
- Handling insurance billing and reconciliation efficiently.
- Expertise in insurance coding and related documentation.
- Liaising and coordinating with insurance companies such as Al Koot Insurance, Glomed Insurance, QLM, Signa Insurance etc..
- Ensuring accurate and timely processing of insurance claims and payments.
- Maintaining comprehensive records and reports related to insurance activities.
- Collaborating with accounts and other hospital departments to resolve insurance-related queries and issues.
- Review and verify patient records, clinical notes, and charts for coding accuracy.
- Ensure compliance with insurance policies, coding guidelines, and billing standards.
- Identify and correct coding errors or discrepancies before claim submission.
- Stay updated with current coding standards, payer requirements, and insurance rules.
Application:
Send your latest CV/Resume, including educational background and working history
Job Type: Full-time
Pay: From QAR5,000.00 per month