Medical Insurance Department Manager

3 days ago

Doha, Qatar DOC MEDICAL CENTER Full time

**Job Summary**

The goal of the Medical Insurance Manager role is to supervise staff responsible for approvals, billing claims and reconciliation, routing upstream issues, and resolving denials to ensure accurate and timely collections, especially for the Managed Medicaid payers. To be successful in this role, Managers are required to have in-depth knowledge in medical field and medical coding guidelines.
- Overall, in charge of insurance related matters.
- Insurance Manager will mainly supervise a group of Insurance Officer. He or she will monitor staff activity and coaches improvements to staff knowledge and process adherence.
- He or she needs to make sure that staff meets or exceeds established standards for metrics specific to assigned Accounts Receivable inventory.
- Insurance Manager must maintain the highest standards of compliance within all work.
- He or she will be the internal and external point of contact in all insurance related matters. Will communicate internally between teams and externally with insurance companies with a high-level of clarity and specificity for efficient communication.
- Follows up and negotiates with Insurance Companies where needed to ensure approval of problematic cases.
- Negotiates terms of agreements with the insurance companies when needed.
- Finalize disallowance write-offs in coordination with Accounts Receivables department after proper reconciliation.
- He or she will be responsible in training the staff and other related departments. Will train for process changes and overall professional development.
- Submits Insurance department statistics monthly.
- Attends seminar and meetings with insurance companies.
- Cascade all new information to Doctors and Management.
- Will be the head of root-cause denial analysis. He or she will fix all issues and collect insurance Accounts Receivable.
- Check all the work of the Insurance Officer before proceeding with the submission.
- Conducts training to the concerned departments for refresher or insurance updates.
- Establishes, communicates, and manages goals, targets and expectations for the department and individual performance.
- Maintains low claim ratio percentage.
- Other duties assigned from time to time.

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

**Education**:

- Bachelor's (required)

**Experience**:

- Medical Insurance: 5 years (preferred)

  • Medical Insurance Manager

    2 weeks ago

    Doha, Qatar Elite Medical Center Full time

    Medical Insurance Manager is required in Qatar... Job Summary The goal of the Medical Insurance Manager role is to supervise staff responsible for approvals, billing claims and reconciliation, routing upstream issues, and resolving denials to ensure accurate and timely collections. To be successful in this role, Managers are required to have in-depth...

  • Medical Insurance Coordinator

    2 weeks ago

    Doha, Qatar Leading Medical Center Full time

    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...

  • Purchase & Insurance Officer - Medical Sector

    5 days ago

    Doha, Qatar Fairview Medical Center Full time

    **Job Summary**: The Purchase & Insurance Officer plays a key role in ensuring the smooth operation of a healthcare facility by managing the procurement of medical equipment and supplies, and overseeing insurance processes related to both patients and staff. The role demands efficiency in sourcing medical products and expertise in coordinating with health...

  • Insurance Manager

    7 days ago

    Doha, Qatar Gardenia Medical Centre Full time

    **URGENT !!!! INSURANCE MANAGER WITH EXTENSIVE EXPERIENCE IN MEDICAL FIELD** - Oversee Insurance department - Assist in the development and implementation of insurance policies and procedures to ensure compliance with legal and regulatory requirements. - Conduct thorough analysis of insurance policies, assessing coverage limits, exclusions, and terms to...

  • Medical Insurance Expert

    7 days ago

    Doha, Qatar Elite Medical Center Full time

    We are looking for a Medical Insurance Expert with proven experience in Qatar for a fast growing Medical Center. Must speak Arabic and English Must have excellent negotiation skills and be able to close the deal. Must have at least 3yrs Medical Insurance knowledge in Qatar. Must have QID and NOC We need someone friendly with excellent work ethic's...

  • Medical Insurance Coordinator

    18 hours ago

    Doha, Baladīyat ad Dawḩah, Qatar Vistas Global Full time

    Job DescriptionWe are seeking a detail-oriented and proactive Medical Insurance Coordinator to manage insurance claims and ensure accurate financial and clinical documentation. The role involves reviewing and auditing medical claims, verifying coverage and eligibility, investigating discrepancies, and supporting management with reporting and compliance. The...

  • Medical Insurance Coordinator

    19 hours ago

    Doha, Baladīyat ad Dawḩah, Qatar Al Shaheen medical center Full time

    Location: Al Shaheen Medical Center, DuhailDepartment: Operation & Outpatient DepartmentsQualification:Company SponsoredWork Experience in Qatar, Medical field only-Preferably with transferable visa sponsored-Willing to stay in accomodationPlease submit your resume and cover letter to We are excited to have you as part of our teamJob Types: Full-time,...

  • Receptionist and Insurance Coordinator

    3 days ago

    Doha, Baladīyat ad Dawḩah, Qatar Posh medical center Full time

    Job Requirements & Responsibilities:Greet and attend to patients in person and over the phone.Professionally assist doctors, staff, visitors, and patients.Answer all phone calls in a professional and courteous manner.Maintain confidentiality of all doctor, staff, and patient information.Schedule appointments between doctors and patients.Liaise between...

  • Insurance Agent/officer

    1 day ago

    Doha, Qatar ELITE MEDICAL CENTER Full time

    Elite Medical Center 1. Insurance Officer This is an exciting opportunity for a Medical Coder/Insurance Agent to establish and manage insurance claims and reimbursement processes. - Setting up insurance with new insurers and managing reimbursement processes - Preparing documentation for new healthcare providers - Working with major insurance companies,...

  • Sales Executive

    5 days ago

    Doha, Qatar SANAD INSURANCE BROKERS WLL Full time

    Our Company is Looking for a Sales Executive (Insurance) - Must be in Qatar and have Transferable Visa with NOC - With Driving License **Job brief** We are looking for a competitive Sales Executive (Insurance) to partake in our business development activities. You will be responsible for finding new customers, promoting and selling our insurance...