Medical Insurance CoordinatorFull Time

Description

Role Purpose:

• Assists the Revenue Cycle management in medical administration of the business.
• Participate in creation of contractual agreements with clients.

Providing the medical support to approval section.

Providing the medical support to claims processing center.

Provide the medical support to billing section.

Coordinating with the medical staff for the client’s contracts, requirements and forms.

Coordinate with Ins. Co. for Rejection & Reply of Insurance Company rejections.

Responsible for reconciliation with Ins. Co. for final settlement.

Fully aware and actively implement the departmental policies and procedures, local and international standards or requirements related to the department.

Actively involves in indicator development, data collection for the department and to measure the performance of the function, process, and outcome. Whenever required, conducts analysis and interpretation of data/information collected.

Participate in hospital Safety Management & Risk Management Programs. Actively reports incidents in the system and whenever needed, participates in incident review, and root cause analysis.

Performs any other duties within the range of his / her professional knowledge and skills as directed by the Revenue Cycle Director

Necessary Knowledge and Experience:

3 years postgraduate experience in medical practice.

2 years practical experience in medical administration.

Requirements

• Education and Certification Requirements

Basic Medical Degree

Licensed by the Saudi Ministry of Health

Postgraduate Medical Degree

Skills:

Bilingual fluency in written and spoken Arabic and English languages.

Good ability to communicate with both physicians and patients.

Summary