✨ AI Summary
The Medical Insurance Coordinator will assist in the medical administration of the business, focusing on revenue cycle management. Key responsibilities include participating in the creation of contractual agreements, providing medical support to approval, claims processing, and billing sections, and coordinating with medical staff and insurance companies. The role also involves reconciling with insurance companies for final settlements, implementing departmental policies, and participating in safety and risk management programs. The ideal candidate will have a basic medical degree, a postgraduate medical degree, and a license from the Saudi Ministry of Health, with 3 years of postgraduate experience in medical practice and 2 years in medical administration.
Requirements
Requires a basic medical degree, a postgraduate medical degree, and a license from the Saudi Ministry of Health. Must have 3 years of postgraduate experience in medical practice and 2 years of practical experience in medical administration.
Description
-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 clients 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 Director3 years postgraduate experience in medical practice.2 years practical experience in medical administration.Basic Medical DegreeLicensed by the Saudi Ministry of HealthPostgraduate Medical Degree