Medical Approval Specialist

•    Support our team in respond to online/live requests and inquiries from Clinics by following standards .

•   Responsible for immediate reply to Live approvals to patients for eligible services.

•   Ensure that all cases are answered within predetermined timescales and are dealt with the highest standards of customer service.

•   Collect document& details needed by insurance companies take action, to make further follow-ups and corrective data as required.

•   Providing a full support to customers service team.

•   Analysis on high cost and complicated cases.( report to team senior for decision).

•   Attending e-mails from companies or clients.( if needed).

•   Details oriented & data entry skills ( how to get approvals from portals ).

•   Analysis on rejected cases & how to take a corrective action. 

•   Daily shift report ( all cases status approved / rejected / pended) with justifications .

•   Follow up on the previous shift’s/day’s pending cases  through our team+ portals ( reporting ).

•   Follow up auditing request for missing approval with daily report.

•   Review the reports with the Approval senior  and send .

•   Monthly reports as requested by the team senior.