Approval Officer
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Key skills for this role
About the Role
Under the supervision of the Audit Team leader, the Approval Officer reviews, sends, and follows up preapproval requests from various departments. Coordinates with Billing and RCM teams, handles insurance-related queries, and assists in training new staff on insurance protocols.
Key Skills for This Role
Responsibilities
- Review, send, and follow up preapproval requests from various departments
- Coordinate with Billing Team and other RCM teams regarding pre approval concerns
- Respond to queries related to insurance coverage/approvals of patients
- Assist in training newly inducted staff on various insurance protocols
- Monitor, dispatch approvals, and follow up on pending and rejected cases
- Coordinate with doctors and insurance companies regarding justification of rejected approvals
- Coordinate with PRO, Billing, and Front Office teams for updating approval status
- Handle all insurance related queries from staff and patients
- Prepare daily productivity reports and support month end reporting
- Assist in development of unit policies and procedures within RCM Department
- Manage general office administration in absence of Team Leader
Requirements
- Experience in insurance approval processing and coordination
- Knowledge of insurance protocols
Full Job Posting
Job Overview
- Under the supervision of the Audit Team leader; reviews, sends and follows up preapproval requests received from various departments in the facility.
- Coordinates with the Billing Team and other teams of RCM Department in regards to any concerns relating to pre approvals.
- Responds to queries related to insurance coverage/Approvals of patients and assists in the same regard.
Responsibilities
- Assists in training newly inducted staff on various insurance protocols.
- Monitors, dispatches approvals, and follows up on pending and rejected cases.
- Coordinates with doctors of NMC Hospital DIP and insurance companies regarding justification of rejected approvals.
- Coordinates with PRO, Billing, and Front Office teams for updating approval status.
- Handles all insurance related queries from staff and patients.
- Prepares daily productivity reports as requested by management and supports month end reporting.
- Improves business relations through uniform, equitable, and transparent application of NMC Hospital DIP policies.
- Assists in the development of unit policies and procedures within the RCM Department.
- Manages general office administration in the absence of the Team Leader.
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