medical insurance coordinator

ANAYA HEALTH CARE

Looking for a Medical Coder / Insurance Coordinator with a minimum of 1+ years of experience.UAE experience is not MandatoryPrevious experience in Emergency Department or EnM coding (US coding) will be prioritized.Certificate - CPC / Appearing for the exam.Qualification - Lifescience backgroundWork location - DubaiRoles and Responsibilities will be discussed at the time of the Interview.Job Types: Full-time, PermanentPay: Up to AED3,000.00 per monthApplication Question(s):<ul><li>ED / EM coding experienced only</li></ul>

Medical Coder / Insurance Coordinator

AL JAZEERA MEDICAL CENTER

Insurance Coordinator - Job DescriptionWe are seeking a detail-oriented and experienced Insurance Coordinator to join our team in Qatar. The successful candidate will be responsible for managing all aspects of medical insurance processing, ensuring seamless coordination between healthcare providers and insurance companies.Key Roles and Responsibilities<ul><li>Claim Management: Efficiently process and submit medical insurance claims, ensuring all documentation is accurate and compliant with insurance policies.</li><li>Pre-authorization: Coordinate and obtain necessary prior approvals for medical procedures and treatments from various insurance providers.</li><li>Verification: Verify patient insurance eligibility and coverage details before appointments or procedures.</li><li>Reconciliation: Monitor and follow up on outstanding claims, managing rejections and resubmissions to minimize financial discrepancies.</li><li>Liaison: Act as the primary point of contact between the medical facility, patients, and insurance companies to resolve queries and disputes.</li><li>Documentation: Maintain updated records of insurance contracts, price lists, and policy changes.</li><li>Reporting: Prepare periodic reports on claim status, approval rates, and insurance-related financial data.</li></ul>Qualifications and Requirements<ul><li>Education: Bachelor&rsquo;s degree in Healthcare Administration, Business Administration, or a related field.</li><li>Experience: Minimum of 2&ndash;3 years of proven experience as an Insurance Coordinator specifically within the Qatar healthcare market.</li><li>Technical Skills: Deep familiarity with major insurance portals in Qatar (e.g., QLM, Alkoot, MetLife, AXA, etc.) and Health Information Systems (HIS).</li><li>Regulatory Knowledge: Strong understanding of Qatar&rsquo;s healthcare regulations and insurance laws.</li><li>Communication: Excellent verbal and written communication skills in English (Arabic is a significant advantage).</li><li>Attention to Detail: High level of accuracy in data entry and claim processing to avoid technical rejections.</li><li>Professionalism: Ability to handle sensitive patient information with strict confidentiality.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>How many years of experience do you have specifically as an Insurance Coordinator within a healthcare facility in Qatar?</li><li>Are you familiar with the MOPH (Ministry of Public Health) circulars regarding medical coding and insurance billing in Qatar?</li><li>Which of the following insurance portals have you managed directly? (Select all that apply: QLM, Al Koot, MetLife, AXA/GIG, Others: ____)</li><li>Do you have experience with ICD-10 or CPT coding for claim submissions? If yes, please specify your level of proficiency.</li><li>This role requires constant coordination with doctors and insurance providers. On a scale of 1&ndash;10, how would you rate your English communication skills for professional appeals?</li></ul>

Insurance Coordinator

Neurology of the Rockies

Neurology of the Rockies is looking to add an Insurance Authorization Coordinator to our growing team! Ideal candidate will be very detail oriented with excellent organizational and documentation skills.This position is full time. We offer competitive pay. Our full-time employees are offered medical, vision and dental insurance, 4% matching 401k and paid time off. We promote healthy work/life balance with annual company sponsored team building events.Duties include but not limited to:<ul><li>Obtaining authorization for specialty medication</li><li>Ordering medication through specialty pharmacies</li><li>Tracking inventory of medication supply</li><li>Verifying insurance benefits and eligibility</li><li>Discussing patient financial responsibility and collecting monies owed</li><li>Scheduling appointments</li></ul>If this sounds like it may be a good fit, please submit your resume with salary requirements.We look forward to meeting with you!Pay: $18.00 - $23.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medical Office Insurance Authorization Coordinator

NMC Health plc

<div>DUTIES AND RESPONSIBILITIES :
<div><ul><li><div>Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits
</div></li></ul><ul><li><div>Respond to Insurance/ TPA queries and liaise with concerned department without ny delay.
</div></li></ul><ul><li><div>Responsible for receiving, evaluating and escalating second opinion cases and case management
</div></li></ul><ul><li>Perform night shift duty and on public holidays as per duty roster.
</li></ul><ul><li>Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
</li></ul><ul><li><div>Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the external Auditors
</div></li></ul><ul><li>Attend Meetings and Presentation
</li></ul><ul><li><div>Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
</div></li></ul><ul><li>Prepare cost estimate for procedures for Cash Patient
</li></ul><ul><li>To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
</li></ul><ul><li>Managing and handling pending cases (if any) to the next shift colleagues.
</li></ul><ul><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title</li></ul></div></div>
 <div><ul><li>Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits.
</li><li>Respond to Insurance/TPA queries and liaise with concerned department without any delay.
</li><li>Responsible for receiving, evaluating and escalating second opinion cases and case management.
</li><li>Perform night shift duty and on public holidays as per duty roster.
</li><li>Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
</li><li>Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the external Auditors.
</li><li>Attend Meetings and Presentation.
</li><li>Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
</li><li>Prepare cost estimate for procedures for Cash Patient.
</li><li>To adjust duties in case of any sudden/emergency unplanned leaves by colleagues.
</li><li>Managing and handling pending cases (if any) to the next shift colleagues.
</li><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.</li></ul></div>
 <div><ul><li>Qualification: Bachelor Degree in Medicine (MBBS) graduate from a recognized university.
</li><li>Experience: Experience in Insurance Claims management/adjudication (minimum 2 years).
</li><li>Medical Coding: Experience in Medical Coding ICD, CPT, DRG and HCPCS.
</li><li>Language: Excellent command of oral and written English.
</li><li>Skills: Flexible and able to work under pressure.
</li><li>Computer Skills: Excellent knowledge of Microsoft applications.</li></ul></div>

Approval Officer

<div>2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators&rsquo; standards especially the claim adjudication Rules and Business Rules.
 
2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
 
2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.</div>
 <div><ul><li>Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits.
</li><li>Respond to Insurance/ TPA queries and liaise with concerned department without any delay.
</li><li>Responsible for receiving, evaluating and escalating second opinion cases and case management.
</li><li>Perform night shift duty and on public holidays as per duty roster.
</li><li>Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
</li><li>Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the external Auditors.
</li><li>Attend Meetings and Presentation.
</li><li>Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
</li><li>Prepare cost estimate for procedures for Cash Patient.
</li><li>To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
</li><li>Managing and handling pending cases (if any) to the next shift colleagues.
</li><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
</li><li>Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements.
</li><li>Work accordance with the documented OSH procedures and instructions, specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports.
</li><li>Comply with Waste management procedures and policies.
</li><li>Attend applicable OSH/Infection control training programs, mock drills and awareness programs.
</li><li>Use of appropriate personal protective equipment and safety systems.</li></ul></div>
 <div><ul><li>Bachelor Degree in Medicine (MBBS) graduate from a recognized university.
</li><li>Experience in Insurance Claims management/adjudication (minimum 2 years).
</li><li>Experience in Medical Coding ICD, CPT, DRG and HCPCS.
</li><li>Excellent command of oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Excellent knowledge of Microsoft applications.</li></ul></div>

Mary Rutan Health

<div>Job Summary -
Verifies patient insurance coverage for therapy services and effectively documents benefit information. Subject matter expert in completing the prior authorization process and pre-determination with insurance companies. Able to answer patient questions regarding financial obligations. Oversees charge reconciliation to ensure billing accuracy. Services on the internal denials team and actively researches causes/trends for therapy denials. Works closely with the billing office and coding team to adjust past claims related to coding issues. Reviews relevant data for each of the therapy departments and generates daily, weekly, and monthly reports. Assists with workflow management as it elates to scheduling/chart organization/insurance verification. Communicates effectively with office staff and therapists regarding insurance issues/concerns. Fills in for front office stations in the event of staff shortages.
Regulatory Requirements<ul><li>
High school graduate or equivalent.</li><li>
Prior experience in a medical setting is required.</li><li>
Experience with insurance preferred.</li></ul>
Language Skills<ul><li>
Ability to communicate in English, both verbally and in writing.</li><li>
Additional languages preferred.</li><li>
Excellent interpersonal skills.</li></ul>
Skills<ul><li>
Meditech experience is preferred.</li><li>
Excel spreadsheet/data analysis skills are required.</li><li>
Knowledge of medical terminology is preferred, especially ICD-10 and CPT codes.</li><li>
Ability to type 40 words per minute.</li></ul>
Qualifications<ul><li>
High school graduate or equivalent.</li><li>
Prior experience in a medical setting is required.</li><li>
Experience with insurance preferred.</li></ul>
Preferred Skills<ul><li>
Ability to communicate in English, both verbally and in writing.</li><li>
Additional languages preferred.</li><li>
Excellent interpersonal skills.</li><li>
Meditech experience is preferred.</li><li>
Excel spreadsheet/data analysis skills are required.</li><li>
Knowledge of medical terminology is preferred, especially ICD-10 and CPT codes.</li><li>
Ability to type 40 words per minute.</li></ul></div>

Insurance Verification Specialist

Macrise Tech Solutions

We are seeking a highly organized and detail-oriented Insurance Verification &amp; Authorization Specialist to join our medical billing team. This role is vital in ensuring accurate verification of patient insurance eligibility, obtaining timely prior authorizations, and maintaining complete documentation to support efficient billing and claims processing.The ideal candidate will have strong communication skills, exceptional attention to detail, and a solid understanding of payer requirements, with the ability to work effectively in a fast-paced healthcare environment.Key ResponsibilitiesInsurance Verification &amp; Eligibility<ul><li>Verify patient insurance coverage through payer portals and by directly contacting insurance providers.</li><li>Maintain accurate and up-to-date eligibility information within the Electronic Health Record (EHR) system, such as eClinicalWorks.</li><li>Complete and upload insurance verification documentation promptly for all newly registered patients.</li><li>Clearly communicate estimated patient financial responsibilities, including copayments, deductibles, and out-of-pocket costs.</li><li>Escalate unresolved eligibility discrepancies or coverage concerns to the Patient Collections team when necessary.</li><li>Proactively follow up with patients to obtain missing, corrected, or updated insurance information.</li></ul>Authorizations &amp; Regulatory Compliance<ul><li>Obtain prior authorizations for medical and behavioral health services that require insurance approval.</li><li>Ensure compliance with Medicaid and other payer-specific authorization policies and guidelines.</li><li>Collaborate with the Patient Services team to manage out-of-network insurance cases.</li><li>Secure authorizations for psychological assessments while maintaining accurate system alerts and supporting documentation.</li></ul>Operational Support &amp; Collaboration<ul><li>Provide assistance with urgent or same-day appointment scheduling when needed.</li><li>Monitor and communicate updates related to payer policies, billing concerns, and provider network participation.</li><li>Work closely with the Practice Manager to resolve incomplete or inaccurate patient intake documentation.</li><li>Participate in team meetings to improve workflows, enhance data accuracy, and support ongoing process improvement initiatives.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

VOB-Medical Billing

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Medical Coder / Insurance Coordinator

Insurance Coordinator

Medical Office Insurance Authorization Coordinator

Approval Officer

Approval Officer

Insurance Verification Specialist

VOB-Medical Billing