✨ AI Summary
The Medical Insurance Coordinator will be responsible for efficiently and accurately handling inpatient and outpatient insurance approvals, coordinating with insurance providers for authorizations, and ensuring timely documentation submission. Key duties include verifying patient insurance coverage, submitting claims, managing claim denials, and posting payments, all while maintaining compliance with UAE insurance regulations and hospital policies. This full-time role requires a strong understanding of medical billing and insurance procedures within a healthcare setting.
Handle OP and IP insurance approvals efficiently and accuratelyCoordinate with insurance providers for authorizations and follow-upsEnsure complete and timely documentation submission. Maintain compliance with UAE insurance regulations and hospital policiesVerify patient insurance coverage and benefits accurately, ensuring proper authorization for services to avoid denials.Submit claims electronically or via mail to various insurance providers, meticulously following each plan's specific guideli
Requirements
Possesses a High School Diploma or equivalent; an Associate's or Bachelor's degree is advantageous.
Certified Professional Coder (CPC) certification.
Demonstrates 2+ years of experience in medical billing, coding, or insurance coordination within a healthcare setting.
Experience in a hospital or clinic setting is preferred.
Description
Handle OP and IP insurance approvals efficiently and accuratelyCoordinate with insurance providers for authorizations and follow-upsEnsure complete and timely documentation submission. Maintain compliance with UAE insurance regulations and hospital policiesVerify patient insurance coverage and benefits accurately, ensuring proper authorization for services to avoid denials.Submit claims electronically or via mail to various insurance providers, meticulously following each plan's specific guidelines.Manage claim denials by investigating the reasons, appealing decisions, and resubmitting corrected claims promptly.Post payments received from insurance companies and patients, reconciling them with the billing system and patient accounts.