Insurance Coordinator - UAE National Only NMC healthcare LLC

Job Description

• Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers. 

• Getting approval for medical procedures.

• Coordinating with insurance companies for obtaining information on new policies and their coverage.

• Explaining coverage of medical benefits to patients when required.

• Assisting invoicing department in insurance processing and billing.

• Entertains patient queries regarding their eligibility and entitlement.

• Entertains patient’s quires regarding unpaid balance.

• Checking insurance card for details like (Card No, Policy No, Network coverage, validity and member benefits) 

• Responsible for filling and tracking insurance claims and informing patients of their claims status. 

• Prepares insurance forms and associated correspondences. 

• Coordinating, liaise with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.

• To liaise with patients regarding their eligibility and entitlements. 

• To maintain strict confidentiality related to medical record and other data.

• To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.

• Attending OSH programs of BIH as a mandatory requirement.

• Complies with all OSH policies, procedures and legal requirements regarding OSHMS.

• Conducts his/her task in a healthy and safe manner at all times.

• Report any untoward events that will impact the occupational, safety & health of patients, staffs, contractors, facilities, operations, etc.

• All employees are personally accountable for their actions and are responsible for ensuring that they comply with infection prevention and control policies. 

• Health care workers are responsible for identifying infectious conditions that require specific controls to protect themselves and their patients. In addition, they are responsible for notifying the infections prevention department.