- Insurance Claims Processing:
- Review and verify patient insurance information, including coverage and eligibility.
- Coordinate with insurance companies to obtain pre-authorizations and approvals for medical procedures and treatments.
- Prepare and submit insurance claims accurately and in a timely manner.
- Follow up on outstanding claims, denials, and discrepancies to ensure resolution.
- Medical Coding:
- Assign appropriate medical codes to diagnoses, procedures, and services according to coding guidelines and regulations.
- Ensure accuracy and completeness of coding to facilitate proper billing and reimbursement.
- Stay updated on coding changes, updates, and compliance requirements.
- Patient Communication:
- Communicate with patients regarding their insurance coverage, benefits, and financial responsibilities.
- Provide assistance and guidance to patients regarding insurance claims, billing inquiries, and payment options.
- Address patient concerns and inquiries related to insurance matters in a professional and empathetic manner.
- Documentation and Recordkeeping:
- Maintain accurate and organized records of insurance-related activities, including claims, payments, and correspondence.
- Ensure compliance with privacy and confidentiality regulations when handling patient information and medical records.
- Generate reports as needed to track insurance claim status, reimbursement trends, and performance metrics.
- Collaboration and Coordination:
- Collaborate with healthcare providers, administrative staff, and other departments to facilitate seamless insurance processes.
- Communicate effectively with internal stakeholders to resolve issues and streamline workflows.
- Participate in training sessions and meetings to stay informed about departmental policies, procedures, and updates.
Qualifications and Experience: - Minimum of 2 years of experience working in a hospital or healthcare setting, preferably in insurance coordination or medical billing.
- Proficiency in medical coding, including knowledge of ICD-10, CPT, and HCPCS code sets.
- Familiarity with insurance regulations, billing practices, and reimbursement processes in the UAE healthcare industry.
- Excellent organizational skills and attention to detail.
- Strong communication and interpersonal skills, with the ability to interact professionally with patients, insurance companies, and internal stakeholders.
- Ability to work independently and prioritize tasks effectively in a fast-paced environment.
- Bachelor's degree or diploma in Healthcare Administration, Medical Coding, or a related field (preferred).
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Description
Job Description: Insurance Coordinator
Location: Ras al Khor
Position Overview:
We are currently seeking a detail-oriented and experienced Insurance Coordinator to join our team. The Insurance Coordinator will be responsible for liaising between the hospital and insurance companies to ensure timely and accurate processing of insurance claims. The successful candidate should have a strong background in medical coding and at least 2 years of experience working in a hospital setting. This position offers a competitive salary ranging from AED 6000 to AED 7000, with a standard 6-day workweek from 9:00 AM to 5:00 PM.
Key Responsibilities: