Send me Jobs like this
Experience
2 - 6 Years
Job Location
Education
MBA/PG Diploma in Business Mgmt(Finance)
Nationality
Any Nationality
Gender
Any
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
Verifies customers' insurance eligibility and authorization in a timely and accurate manner
Communicates payer authorization and eligibility information.
Sends payer informational correspondence.
Complete service and procedure authorizations and referrals
Review the patient's medical history and insurance coverage for approval.
If necessary, contact referral physicians for more information.
Once approval is obtained, the concerned staff and treating physicians should be notified.
Enter new patient information and update data in our system.
As needed, assist with other clerical responsibilities.
Notifies branch management of concerns with payer coverage or other service noncoverage.
Keep track of the daily production report.
Keep the pending approval monitoring system updated for the next day's follow-up.
The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.
Guide the doctors and concerned staff to follow the correct ICD, CDT and CPT codesto avoid the rejection
Desired Candidate Profile
College Diploma - Any discipline or related fields.
Proficiency in medical coding standards: ICD, CPT, DRG, HCPCS
Experience in insurance claims management or pre-authorization (approval) processes, typically 2+ years
Employment Type
- Full Time
Company Industry
Department / Functional Area
Keywords
- Risk Assessment
- Cross-Functional Collaboration
- Process Improvement
- Approval Process
- Regulatory Compliance Specialist
- Stakeholder Communication
- Application Analyst
- Mentorship And Training
NMC healthcare LLC
NMC is a diversified business conglomerate. One of the focus areas being Healthcare, with Specialty Hospitals, Medical centres and Clinics across the UAE.