Job Description
- Approval coordinator experience(IP&OP)
- Entering signed Network agreements between Insurance Companies and UHS in the Hospital software.
- Verifying the requests from doctors based on medical conditions.
- Taking approvals for requests that require approvals.
- Processing claims in the system on daily basis.
- Auditing the invoices before sending them to Insurance Companies.
- Preparing claims submission statements on monthly basis for submitting invoices to Insurance Companies.
- Deducting the payments from the statement of each Insurance Company.
- Coordinating with Insurance Companies for queries related to medical claims.
- Reconciling the claims that are short-paid/ rejected with valid medical reports.
- Coordinating with doctors for medical reports and queries from Insurance Companies.
- Informing the patients after receiving the approvals.
- Medical background
- Arabic speaking (preferred)
Job category
Job Code
14
Job Department
