Medical Insurance Director

5 days ago


Doha, Qatar EMD GROUP Full time

Oversee the entire medical claims process, ensuring timely and accurate submission of claims.
- Monitor and manage claims status, identifying and addressing any delays or issues in processing.
- Develop and implement strategies to minimize claim denials and optimize reimbursement.
- Negotiate contracts and agreements with insurance companies to secure favorable terms and conditions for the hospital.
- Establish and maintain strong relationships with insurance providers to facilitate smooth operations and conflict resolution.
- Analyze and interpret insurance policies, guidelines, and regulations to ensure compliance and maximize benefits.
- Develop and implement effective strategies for the collection of outstanding claims and overdue payments.
- Collaborate with the finance department to reconcile accounts and ensure accurate financial reporting.
- Monitor and report on key performance indicators related to collections and claim management.
- Lead the insurance claims team, providing guidance, training, and performance evaluations.
- Foster a positive and productive work environment, encouraging teamwork and continuous improvement.
- Develop and implement policies and procedures to enhance operational efficiency and effectiveness.
- Prepare and present regular reports to senior management on the status of claims, collections, and overall performance.

Qualifications:
Bachelor’s degree in Business Administration, Healthcare Management, Finance, or a related field. Master’s degree preferred.

Minimum of 10 years of experience in medical insurance and claims management, with at least 4 years in a leadership role.

In-depth knowledge of medical insurance policies, claims processes, and regulatory requirements in Qatar.

Proven track record of successful negotiations with insurance companies and financial collections.

Strong analytical, problem-solving, and decision-making skills.

Excellent communication and interpersonal skills, with the ability to build and maintain relationships.

High level of integrity, professionalism, and attention to detail.

**Job Types**: Full-time, Permanent

Pay: From QAR15,000.00 per month

**Experience**:

- medical insurance: 6 years (required)

**Language**:

- English (required)

Application Deadline: 30/06/2024



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