Medical Insurance Manager

Promote the mission, vision, and values of the organization Taking care of the insurance department (claims, approvals, network factor negotiations, regulations of the insurance industry). Dealing with Medical insurance companies for payments and denials. Identification of potential insurance companies and corporate associates and make business proposals...

**Job description** We are looking for an Insurance Coordinator to assist the patients with insurance benefits and communicates with insurance companies regarding their claims. Also having close contacts with patients to resolve financial challenges and maintaining a healthy aging accounts receivable. In addition to those duties, you will be involved in...

Responsible for Approvals: (In Charge for evaluation, processing, and handling of claims.) - Handling a team of insurance of coordinators: - Managing overall medical clinic insurance claims, approval, procedures, denials and receivables - Coordinating, liaising and networking between insurance companies regarding eligibility, approvals and other...

Responsible for Approvals: (In Charge for evaluation, processing, and handling of claims.) - Handling a team of insurance of coordinators: - Managing overall medical clinic insurance claims, approval, procedures, denials and receivables - Coordinating, liaising and networking between insurance companies regarding eligibility, approvals and other...

Gather and collate all the original claim forms monthly. - Will be in charge in doing claims approval, claims submission and claims reconciliation. - Scan all the reviewed claims monthly for coding and claim submission of insurance companies read and analyze patient records (to determine patient's history, including diagnosis and treatment given) - Encode...

Checking of billing statement reports which is provided by insurance assistant to be submitted to the insurance company. - Generating and summarizing the monthly insurance sales report per pharmacy/ insurance company and submitted to the chief accountant/ insurance director. - Prepare monthly summary for all the rejected and unpaid medical claims by the...

**Job Summary**: **Key Responsibilities**: - Process and verify insurance claims for outpatient services, including Obstetrics and Gynecology, Dental, Dermatology, Internal Medicine, and Pharmacy. - Liaise with insurance providers to ensure timely approval and settlement of claims. - Handle pre-authorizations, claim submission, rejections, and resubmissions...

**Location**: Al Shaheen Medical Center, Duhail **Department**: Operation & Outpatient Departments **Qualification**: - Company Sponsored - Work Experience in Qatar, Medical field only We are excited to have you as part of our team! **Job Types**: Full-time, Permanent, Contract Contract length: 24 months Pay: QAR3,000.00 - QAR4,000.00 per...

**Inpatient Insurance Coordinator and Claims Processor/Outside Medical Center Coordinator** **(QLM, ALKOOT, ALLIANZ, BUPA, METLIFE, TRICARE, MSH, AETNA, AXA)** - **Responsible for all insurance pre-approval request inpatient and outpatient**: - **Validate the procedures done by the patients**: - **Ensure patient information is accurate including billing...

Confirm patient eligibility with insurance companies. Validate policy coverage, limitations, exclusions, co-payments, deductibles and referral requirements. Maintain updated knowledge of insurance policy changes and communicate to the relevant departments. Process and obtain pre-approvals for all services requiring insurance authorization. Ensure correct...