Title Insurance Administrator
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Key skills for this role
About the Role
Mediclinic Middle East seeks an Insurance Administrator to provide comprehensive insurance administration services at Mediclinic Airport Road Hospital in Abu Dhabi.
Key Skills for This Role
Responsibilities
- Process approvals and submission of information accurately to ensure eligibility and approvals are confirmed
- Prepare relevant cost estimates based on regulator rules, including DRG calculations
- Daily management of pending cases and follow up on outstanding information requirements
- Ensure prompt implementation and compliance with relevant insurance policies
- Prepare and distribute relevant reports
- Provide accurate and prompt insurance information and feedback to patients and team members
Requirements
- A relevant Diploma or Bachelor's degree from an accredited institution
- Coding certificate (CPC)
- At least 2 years' experience in a healthcare setting with relevant medical insurance exposure
- Facilitation skills
- Client service and related management principles
- Clinical Coding knowledge
- Medical terminology
- Verbal and written communication skills in English
- Healthcare insurance rules knowledge
- Insurance Claims knowledge
Full Job Posting
Main Purpose of Job
- To provide comprehensive insurance administration services aimed at efficient and prompt insurance pre authorisation.
Key Responsibility Areas
- Process approvals and submission of information accurately to ensure eligibility and approvals are confirmed.
- Prepare relevant cost estimates based on regulator rules, including DRG calculations.
- Daily management of pending cases and follow up on outstanding information requirements.
- Ensure prompt implementation and compliance with relevant insurance policies.
- Prepare and distribute relevant reports.
- Provide accurate and prompt insurance information and feedback to patients and team members.
Required Education
- A relevant Diploma or Bachelor's degree from an accredited institution.
- Coding certificate (CPC).
Required Experience
- At least 2 years' experience in a healthcare setting with relevant medical insurance exposure.
Required Job Skills and Knowledge
- Facilitation skills.
- Client service and related management principles.
- Clinical Coding.
- Medical terminology.
- Verbal and written communication skills in English.
- Healthcare insurance rules.
- Insurance Claims.
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