medical insurance coordinator

London Bridge Medical & Surgery Center

We 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-timePay: QAR3,500.00 - QAR7,000.00 per monthWork Location: In person

Insurance Coordinator

Med-Right LLC (Branch 2)

Medical Claims CoordinatorMed-Right LLC (Branch 2), Doha, QatarPosition Overview: The Medical Claims Coordinator is responsible for managing, reviewing, and processing medical insurance claims accurately and efficiently. The role ensures compliance with insurance policies, company procedures, and healthcare regulations while maintaining smooth coordination between healthcare providers, insurance companies, and patients.Key Responsibilities:<ul><li>Review, validate, and process medical insurance claims in accordance with policy guidelines and coverage limits.</li><li>Ensure all claims submissions are complete, accurate, and supported by required medical documentation.</li><li>Coordinate with hospitals, clinics, and insurance providers to resolve claim discrepancies or missing information.</li><li>Follow up on pending, rejected, or delayed claims and ensure timely resolution.</li><li>Verify patient eligibility and insurance coverage prior to claim submission when required.</li><li>Maintain detailed records of claims activity and update internal systems regularly.</li><li>Communicate effectively with internal departments, healthcare providers, and insurance companies.</li><li>Assist in handling claim audits and compliance checks.</li><li>Ensure adherence to Qatar healthcare regulations and insurance standards.</li><li>Support continuous improvement of claims processing workflows and accuracy.</li></ul>Qualifications &amp; Requirements:<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Nursing, Business Administration, or related field.</li><li>Previous experience in medical insurance claims processing (preferably 1&ndash;3 years).</li><li>Knowledge of insurance policies, medical coding, and healthcare billing systems.</li><li>Strong attention to detail and accuracy in documentation.</li><li>Good communication skills in English (Arabic is an advantage).</li><li>Proficiency in Microsoft Office and claims management systems.</li><li>Ability to work under pressure and meet deadlines.</li></ul>Key Skills:<ul><li>Medical claims processing</li><li>Insurance verification</li><li>Analytical and problem-solving skills</li><li>Communication and coordination</li><li>Time management</li><li>Attention to detail</li></ul>Work Location: Med-Right LLC (Branch 2), Doha, Qatarنوع الوظيفة: دوام كاملموقع العمل: بشكل شخصي

Medical Claims Coordinator

Align Physical Therapy Group

Medical Authorization and Insurance CoordinatorLocation:185 Cadillac Place, Reno, NV 89509Company:Align Physical Therapy GroupJob post summaryPay: $17.00 - $20.00 per hourJob OverviewAt Align Physical Therapy, we promote a healing physical therapy environment and a hands-on approach to treatment in the most compassionate and caring manner.As the Authorizations Coordinator, you are responsible for verifying insurance coverage and obtaining authorizations for physical therapy services.This position requires cross training and assistance with front office duties, such as checking patients in and taking patient calls and requests.Essential Functions<ul><li>Verify and confirm patients' information, benefits, and status with insurance carriers.</li><li>Navigate insurance portals to determine benefits, eligibility, authorizations, and payments.</li><li>Verify coverage, initiate authorizations, provide clinical documentation, and follow up on previously submitted prior authorizations.</li><li>Maintain professional and open communication with providers and coworkers to ensure optimal patient care.</li><li>Maintain the confidentiality of patients' records, progress notes, and any related work.</li></ul>Job Type: Full TimeEducation:<ul><li>High school or equivalent (Required)</li></ul>Experience:<ul><li>Medical Authorization and Insurance Coordination: 5 years (Required)</li><li>EMR/EHR: 3 years (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>Location:<ul><li>Reno, NV 89509 (Preferred)</li></ul>Shift availability:<ul><li>Day Shift</li><li>Ability to Commute: Reno, NV 89509 (Required)</li></ul>Ability to Relocate:<ul><li>Reno, NV 89509: Relocate before starting work (Required)</li></ul>Work Location: In person, 185 Cadillac Place, Reno, NV 89509Pay: $17.00 - $20.00 per hourWork Location: In person

Medical Authorization and Insurance Coordinator

Med-Right LLC (Branch)

Are you a healthcare enthusiast with a talent for navigating the world of medical insurance? Med-Right LLC is looking for a proactive Medical Claims Coordinator to join our expanding team in Doha. This is more than just a desk job&mdash;it is an opportunity to be the vital link between patients, providers, and insurance companies. If you thrive on accuracy, enjoy problem-solving, and want to work in an environment that values professional growth, we want to hear from you.About the CompanyMed-Right LLC is a premier Third-Party Administrator (TPA) and healthcare management firm dedicated to making healthcare accessible and transparent. With a network of thousands of providers and a reputation for leveraging high-end technology, we simplify complex medical processes. At Med-Right, we believe that a healthy life is a happy life, and we work tirelessly to ensure our beneficiaries get the right care at the right time.Why Work With Us?<ul><li>Professional Growth: We provide regular training on the latest medical coding (ICD-10, CPT) and AI-driven claims processing tools.</li><li>Supportive Environment: Join a multicultural team that values respect, teamwork, and collaborative success.</li><li>Modern Benefits: Competitive tax-free salary, comprehensive private health insurance, and annual air ticket allowance.</li><li>Stability: Work with an ISO-certified organization that is a leader in the Middle Eastern healthcare sector.</li></ul>Key Responsibilities<ul><li>Review and evaluate medical claims for eligibility, accuracy, and compliance with insurance policies.</li><li>Coordinate with healthcare providers to obtain missing documentation or clarify billing discrepancies.</li><li>Process prior authorization requests and respond to inquiries from insurance companies and clients.</li><li>Monitor claims status and identify trends in denials to suggest process improvements.</li><li>Ensure all data entry is handled with high precision within our Claims Management System.</li><li>Maintain strict confidentiality of patient records in accordance with healthcare regulations.</li></ul>Skills and Requirements<ul><li>Education: Bachelor&rsquo;s degree in Pharmacy, Nursing, Medicine, or a related healthcare field.</li><li>Technical Skills: Proficiency in MS Office (especially Excel) and familiarity with medical coding systems (ICD-10/CPT).</li><li>Communication: Excellent verbal and written communication skills in English; Arabic is a plus.</li><li>Analytical Mindset: Strong attention to detail and the ability to spot errors in complex medical invoices.</li><li>Adaptability: Comfortable working in a fast-paced environment and learning new digital health tools.</li><li>Experience: 1&ndash;2 years in medical claims, insurance coordination, or a TPA setting is preferred, though motivated fresh graduates are welcome to apply.</li></ul>Join Our Team TodayReady to take the next step in your healthcare administration career? We have simplified our application process to respect your time. Click the apply button to submit your CV and join a company that is shaping the future of healthcare management in Qatar.Apply Now and start your journey with Med-Right LLC.Med-Right LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.الراتب المدفوع: QAR٩٬٠٠٠٫٠٠&nbsp;لكل شهرموقع العمل: بشكل شخصي

Fragrance Coordinator

Cancer Center of South Florida

<div>
 
 Description
 
 
 
 
 POSITION SUMMARY:
 
 
 
 The Tier I Pharmacy Services Coordinator is responsible for verifying insurance benefits for oncology treatments and confirming coverage. This role includes managing patient referrals to specialists, ensuring timely processing, and maintaining accurate records in the EMR for all prior authorizations and benefit verifications. The specialist communicates with patients about their insurance status, coverage requirements, and out-of-pocket costs, while identifying cases requiring financial assistance and escalating as necessary. The position also involves supporting departmental goals by completing tasks accurately and meeting turnaround time expectations.
 
 
 
 Core Essential Responsibilities
 
 
 
 <ul>
 <li>
 Verify insurance benefits for prescribed oncology treatments to confirm coverage under the medical benefit.
 </li>
 <li>
 Coordinate and manage patient referrals to specialists, ensuring timely processing and communication with providers when applicable.
 </li>
 <li>
 Upload complete treatment documentation packets into the electronic medical record (EMR) for CCSF and TGH Revenue Cycle teams.
 </li>
 <li>
 Communicate with patients about insurance status, coverage requirements, and out-of-pocket costs.
 </li>
 <li>
 Maintain accurate, up-to-date records in the EMR for all prior authorizations and benefit verifications.
 </li>
 <li>
 Identify cases needing financial assistance and escalate to appropriate staff or programs as needed.
 </li>
 <li>
 Support departmental goals by completing assignments accurately and meeting turnaround time expectations.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 REQUIRED EDUCATION &amp; EXPERIENCE
 
 
 
 <ul>
 <li>
 High school diploma or equivalent required; associate degree in healthcare or related field preferred.
 </li>
 <li>
 Minimum of 2 years experience in medical insurance verification, prior authorization, or related healthcare administrative role preferred.
 </li>
 <li>
 Experience in oncology or infusion therapy settings is strongly preferred.
 
 
 </li>
 </ul>
 
 Required Certificates, License Or Registration
 
 
 
 <ul>
 <li>
 None
 
 
 </li>
 </ul>
 
 Required Knowledge, Skills Or Abilities
 
 
 
 <ul>
 <li>
 Working knowledge of insurance verification processes, medical benefits, and prior authorization workflows preferred
 </li>
 <li>
 Familiarity with oncology treatment terminology, infusion therapies, and related clinical documentation preferred.
 </li>
 <li>
 Proficiency in electronic medical records (EMR) systems and basic understanding of revenue cycle operations preferred.
 </li>
 </ul>
</div>

Pharmacy Services Coordinator I

SNQ Herbal

Are you a healthcare enthusiast with a talent for navigating the world of medical insurance? Med-Right LLC is looking for a proactive Medical Claims Coordinator to join our expanding team in Doha. This is more than just a desk job&mdash;it is an opportunity to be the vital link between patients, providers, and insurance companies. If you thrive on accuracy, enjoy problem-solving, and want to work in an environment that values professional growth, we want to hear from you.About the CompanyMed-Right LLC is a premier Third-Party Administrator (TPA) and healthcare management firm dedicated to making healthcare accessible and transparent. With a network of thousands of providers and a reputation for leveraging high-end technology, we simplify complex medical processes. At Med-Right, we believe that a healthy life is a happy life, and we work tirelessly to ensure our beneficiaries get the right care at the right time.Why Work With Us?<ul><li>Professional Growth: We provide regular training on the latest medical coding (ICD-10, CPT) and AI-driven claims processing tools.</li><li>Supportive Environment: Join a multicultural team that values respect, teamwork, and collaborative success.</li><li>Modern Benefits: Competitive tax-free salary, comprehensive private health insurance, and annual air ticket allowance.</li><li>Stability: Work with an ISO-certified organization that is a leader in the Middle Eastern healthcare sector.</li></ul>Key Responsibilities<ul><li>Review and evaluate medical claims for eligibility, accuracy, and compliance with insurance policies.</li><li>Coordinate with healthcare providers to obtain missing documentation or clarify billing discrepancies.</li><li>Process prior authorization requests and respond to inquiries from insurance companies and clients.</li><li>Monitor claims status and identify trends in denials to suggest process improvements.</li><li>Ensure all data entry is handled with high precision within our Claims Management System.</li><li>Maintain strict confidentiality of patient records in accordance with healthcare regulations.</li></ul>Skills and Requirements<ul><li>Education: Bachelor&rsquo;s degree in Pharmacy, Nursing, Medicine, or a related healthcare field.</li><li>Technical Skills: Proficiency in MS Office (especially Excel) and familiarity with medical coding systems (ICD-10/CPT).</li><li>Communication: Excellent verbal and written communication skills in English; Arabic is a plus.</li><li>Analytical Mindset: Strong attention to detail and the ability to spot errors in complex medical invoices.</li><li>Adaptability: Comfortable working in a fast-paced environment and learning new digital health tools.</li><li>Experience: 1&ndash;2 years in medical claims, insurance coordination, or a TPA setting is preferred, though motivated fresh graduates are welcome to apply.</li></ul>Join Our Team TodayReady to take the next step in your healthcare administration career? We have simplified our application process to respect your time. Click the apply button to submit your CV and join a company that is shaping the future of healthcare management in Qatar.Apply Now and start your journey with Med-Right LLC.Med-Right LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.الراتب المدفوع: QAR٥٬٠٠٠٫٠٠&nbsp;لكل شهرموقع العمل: بشكل شخصي

Herbal Products Coordinator

Sarnova HC, LLC

The Sarnova family of companies includes Digitech, Bound Tree Medical, Tri-anim Health Services, and Cardio Partners.
 LifeSure, a division of Cardio Partners, specializes in automated external defibrillator (AED) program management and support services. LifeSure partners with organizations to help manage AED compliance, maintenance, medical direction, and readiness programs designed to support emergency response preparedness and improve patient outcomes.
 
Location: 
1911 NW 150th Ave, Suite 201, Pembroke Pines, FL 33028
 
Summary: 
The Authorization & Appeals Specialist is responsible for receiving and processing DME referrals, verifying patient eligibility, and coordinating equipment delivery. It involves detailed data entry, insurance interaction, and communication with healthcare providers and patients. The role requires strong administrative, communication, and insurance knowledge to ensure accurate and efficient service delivery.
 
Organizational Impact: 
The Authorization & Appeals Specialist plays a critical part in ensuring timely and accurate processing of Durable Medical Equipment (DME) referrals, which directly supports patient care continuity and satisfaction. By managing insurance verifications, authorizations, and appeals, the position helps reduce claim denials and improves reimbursement efficiency. The role also enhances operational coordination across departments, contributing to streamlined workflows and regulatory compliance.
 
Essential Duties and Responsibilities: 
<ul>
<li>Review clinical denials including but not limited to referral, pre-authorization, medical necessity, non-covered services</li>
<li>Draft and submit authorization request to the Health Plan/Medical Director based on the review of clinical documentation with Medicare, Medicaid, and third-party guidelines</li>
<li>Performs data entry, answers telephone, and directs calls to the appropriate staff and performs basic clerical duties and any other duties as assigned</li>
<li>Serves as first line of contact for referral client care calls from physician’s offices, and others</li>
<li>Maintains referrals and receives and tracks information regarding changes in client status</li>
<li>Verifies patient eligibility</li>
<li>Coordinate Instructor call backs to patients with questions</li>
<li>Must ensure appropriate patient documentation is received prior to delivering medical equipment; securing a valid prescription, physician written order and physician medical notes</li>
<li>Arrange delivery of medical equipment to patient’s home</li>
<li>Maintain inventory tracking of medical equipment</li>
<li>Research policies regarding AED Insurance Coverage</li>
<li>Periodically reverifies Medicaid State Allowable</li>
<li>Create, organize, and file patient charts</li>
<li>Conduct and record cash sales when working through insurance is not feasible</li>
<li>Supports office operations</li>
<li>Works closely with Nursing coordinator and Instructors from the referring doctor’s office</li>
<li>Additional job duties as assigned</li>
</ul>
Skills/Experience Required: 
<ul>
<li>Education: High School Diploma or equivalent required</li>
<li>Minimum of 2-years’ experience working with insurance companies required</li>
<li>Knowledge and application of managing and appealing denials</li>
<li>Working knowledge of Medicare, Medicaid, HMO’s, and PPO’s is essential as well as knowledge of HIPAA regulations</li>
<li>Must be familiar with Insurance companies and the duties associated with patient intake information; verification, preauthorization; benefit identification to include coinsurance and deductibles; billing and collection</li>
<li>Must have experience in medical insurance terminology, CPT, ICD coding structures, and billing forms 1500</li>
<li>Knowledge of home medical equipment is a plus</li>
<li>Self-directed and highly motivated with a “can do” attitude</li>
<li>Superior interpersonal abilities; ability to get along with diverse personalities, tactful, flexible</li>
<li>Good communication skills; well-developed administrative skills</li>
<li>Writing and verbal communication skills are required in English</li>
<li>Must possess and show development of outstanding communication, leadership, and situational awareness skills</li>
<li>Ability to work well under pressure in a fast-paced environment with frequently changing priorities, deadlines, and workloads. Strong time management skills</li>
<li>Ability to be objective in discussions and decisions making</li>
</ul>
Physical Requirements: 
<ul>
<li>Sit, walk, stand, use hands to manipulate, handle, feel, and control items or equipment</li>
<li>Reach with hands and arms</li>
<li>Talk and hear</li>
<li>See and be able to read, write, and interpret text</li>
<li>Employee may use computer, phone, copier and other office equipment in the course of a day</li>
<li>Occasionally lift and move objects weighing up to 10 pounds</li>
<li>Employee may be required to travel for business purposes</li>
<li>When working remotely, ability to secure confidential information</li>
<li>When working remotely, perform all duties in a professional environment free of noise or anything that would create a negative customer experience</li>
</ul>
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Continuous is defined as 6-8 hours, frequently is defined as 3-6 hours, and occasionally is defined as up to 3 hours.
 
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EEO/M/F/Veterans/Disabled. Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

Authorization & Appeals Specialist - LifeSure - Remote

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