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Insurance Officer - UAE National

Health Point Hospital

Posted on March 26, 2020

2 - 3 years Abu Dhabi - United Arab Emirates

Bachelor of Commerce(Commerce), Bachelor of Business Administration(Management). Any Nationality

Opening 01

Job Description

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Main Responsibilities
• Responsible specific insurance processes with regards to service pre-authorization, submission and resubmission.
• Update the clinics for the current pre-authorization request status to facilitate scheduling of approved services and denied request and claims for possible revision, justification or acceptance of denial.
• Develop and maintain relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payers.
• Coordinate discussions between billing clerks and utilization nurses for insurance claims process.
• Provide necessary claim reports for analysis and performance output measurement
• Analyze recommend claim adjustments, bad debt provision, and contractual allowances.
• Create and provide a collection area for collecting balances not received in the ordinary revenue cycle process.
• Respond accordingly to insurance related queries for both internal and external customers.
• Provide explanations and/or guidance on insurance coverage.
• Identify and resolve patient insurance queries and complaints.
• Pro-actively participate in collaboration with the Line Manager to meet the strategic and operational business goals.
• Partner with the HOD to ensure the department budgets and KPIs are met.
• Work towards meeting departmental strategies and KPIs and display a shared commitment towards contributing to the Hospital s mission and vision
• Adhere to the department and Healthpoint policies and procedures in alignment towards the regulatory and accreditation requirements.
• Participate in regular departmental meetings
• Timely complete the entire performance evaluation cycles.
• Contribute towards a disciplined culture of continuous improvement resulting in enhanced coordination of work activities and improved efficiency.
• Drive an appropriate level of self-continuous personal and professional development
• Promote effective communication strategies and maintain good interdepartmental liaison.
• Participate in Departmental Quality Improvement activities
• Ensure providing services that are in compliance with all applicable standards and requirements of Joint Commission International (JCI), Legislation, Policies, Quality Standards, DOH, and all other applicable regulatory bodies.
• Maintain professionalism and confidentiality at all times
• Communicate in a culturally sensitive manner with patient and family using appropriate terminologies in patient interactions.

Insurance / Underwriting / Surveying / Actuary

Desired Candidate Profile

• Degree in Accounting, Business Administration or equivalent.
• Al least 2 years of relevant experience within finance environment.
• Familiar with UAE Insurance practices will be an added advantage.


Insurance Officer - UAE National


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Health Point Hospital

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