Senior Officer, Insurance Services

M42 Health

The Senior Officer, Insurance Services reports directly to the Supervisor, Insurance Services and plays a key role in supporting both the finance and insurance teams in their day-to-day operations. This role involves a wide range of responsibilities, including but not limited to handling insurance authorizations, claim submissions and resubmissions, and processing medical claims. The Senior Officer ensures that all insurance-related activities are executed in full alignment with M42 s established procedures and regulatory guidelines. With a strong focus on accuracy, compliance, and collaboration, the Senior Officer contributes significantly to the efficiency of insurance workflows and the overall quality of patient care.

Responsibilities

• Ensure accurate processing of insurance and corporate claims in line with reimbursement agreements
• Coordinate with insurance providers for eligibility checks, approvals, and reconciliation
• Support verification, preauthorization, and benefit entry across departments
• Communicate billing and insurance guidelines to staff and physicians
• Maintain organized records and assist with payment tracking and audits
• Monitor receivables and manage outstanding balances
• Analyze claim adjustments and ensure compliance with billing standards
• Collaborate with billing clerks, utilization nurses, and supervisors
• Participate in staff training and contribute to process improvements