Insurance Coordinator
| Company Name: | University Hospital Sharjah |
| Employment Type: | Full Time |
| Location: | Sharjah |
| Experience: | 2+ years |
| Degree: | Bachelor |
| Gender: | Any |
| Age: | Any |
| Nationality: | Any |
| Salary: | Unspecified |
| No. Of Vacancies: | 1 |
| Job Description: |
| Summary of Main Duties • Understand and comply with network agreements between Insurance Companies and UHS. • Verifying the requests from doctors based on the medical conditions and determine whether requires preapproval. • Maintain record of approvals for requests that require approvals and update them frequently. • Processing claims in the system on daily basis (If required). • Auditing the invoices before sending to Insurance Companies. • Coordinating with Insurance Companies for queries related to medical approvals, claims etc • Reconciling the claims that are short paid/ rejected with valid medical reports. • Coordinating with doctors for medical reports and queries from Insurance Companies. • Liaise with patients and explain approval or rejection. • Undertake all calls regarding approvals from patients and provide appropriate replies. • Undertaking the approval and Insurance companies/sponsors as may be applicable. • Communicate with patient for approval/rejection status of approvals from sponsoring agency (including Insurance). • Communicate with Insurance companies/sponsors and provide required clarification/do follow up of cases. • Prepare cost estimate (if assigned) to be sent to insurance companies/sponsoring agencies. • Comply with jobs that are additionally assigned by manager from time to time. Responsibilities Requirements/Qualifications • Bachelor Degree • 2 years experience in health insurance. |
