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Medical Insurance Coordiantor

Dallah Hospital

Posted on August 14, 2019

5 - 7 years Riyadh - Saudi Arabia

MBBS(Medicine). Any Nationality

Opening 01

Job Description

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Medical Insurance Coordiantor
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Job Description and Requirements
JOB SUMMARY
Assists the business center management in medical administration of the business. Participate in creation of contractual agreements with clients.
KEY RESPONSIBILITIES
• Providing the medical support to approval section.
• Providing the medical support to claims processing center.
• Provide the medical support to billing section.
• Holding the responsibilities of medical director during his absence.
• 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.
• Responsible for Reconciliation with Ins. Co. for final settlement.
• Fully aware and actively implement the departmental policies and procedures, and JCI, ISO and Aramco 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.
QUALIFICATION and EXPERIENCES
• MBBCh
• 5 to 7 years experience related to the field.


Keywords

Radiology Nursing Billing ISO Risk management Medical insurance Data collection Root cause analysis Claims processing Safety management

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Dallah Hospital


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