Job Description

Assists the Medical Advisor on all insurance issues and coordinates with staff and Insurance Companies with direct billing arrangements with American Hospital Dubai.

• Coordinates with the following appropriate personnel to ensure that all the formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies:
  • Patient Relations
  • Nursing
  • Physicians
  • Finance
  • External Stakeholder
• Monitors and follows up on prior authorization for outpatient services wherever required and all Inpatient services along with evaluation/audit of claims before submission.
• Conducts claims analysis before their submission to insurance companies as assigned.
• Reconciles claims paid and outstanding with insurance companies and coordination with Finance.
• Demonstrates functional and business knowledge required for the job and applies that to following the requirements of Insurance Companies in the Hospital and follow-up with the Companies.
• Makes accurate, thorough, and appropriate work a priority.
• Anticipates and sets priorities to support department needs and follows policies and procedures for achieving them.
• Identifies and analyses problems, takes action to resolve them, applies sound judgement and takes responsibility for their resolution.

• Bachelor’s Degree in any field, Medical preferred

PROFESSIONAL EXPERIENCE:

• Minimum of two (2) to four (4) years of experience in a similar field
• Excellent English verbal and written communication skills
• Computer literacy is essential
• Very good understanding of hospital operations
• Intermediate to Advanced Microsoft Office
• Strong leadership experience
• Excellent relationship management
• Organised and thorough
• Excellent analytical and organisation