Insurance Officer / Admin
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Key skills for this role
Key Skills for This Role
Full Job Posting
Main Duties
- Coordinate with insurance companies and TPAs regarding patient coverage and approvals.
- Verify patient insurance eligibility and benefits before treatment.
- Check coverage, exclusions, co-payments, deductibles, and policy limits.
- Obtain pre-approvals and prior authorizations for procedures, investigations, and treatments.
- Prepare and submit insurance claims accurately and on time.
- Follow up on pending, rejected, or unpaid claims and prepare corrections or resubmissions.
- Coordinate with doctors, nurses, reception, and billing staff to obtain complete medical documentation.
- Ensure medical reports, diagnosis codes, procedure codes, prescriptions, and supporting documents are complete.
- Maintain records of approvals, claims, rejections, and payments.
- Reconcile insurance payments with submitted claims and patient accounts.
- Follow up with insurance companies regarding outstanding receivables.
- Prepare reports on submitted, approved, rejected, and outstanding claims, collections, and rejection trends.
Pay
- QAR 4,094.51 to QAR 4,575.72 per month.
Work Location
- The work location is in person.
Requirements
- Ability to verify insurance eligibility, benefits, exclusions, co-payments, deductibles, and policy limits accurately.
- Ability to prepare and submit insurance claims accurately and on time.
- Ability to coordinate with clinical, reception, billing, insurance, and TPA stakeholders to obtain complete documentation.
- Ability to maintain accurate records and prepare reports on claims, approvals, rejections, collections, and outstanding receivables.
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