Policy Management Officer
NEXtCARE -
New Cairo, CairoPosted 1 year ago204Applicants for1 open position
- 5Viewed
- 0In Consideration
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Job Details
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Job Description
- The After Sales Support – Policy Management Officer is accountable for reviewing and maintain the TOB by checking the eligibility and exclusions program prior clients approvals. This position requires a thorough understanding of medical treatments and admission process.
- The individual is responsible for ensuring that clinical and administrative intake services are provided for patients.
- In addition to that, he is responsible for creating the products of the policies on the system.
- Review of table of benefits inclusions, exclusions, limits, and sub-limits in order to ensure applicability and adaptability of policy terms and conditions with NEXtCARE system and process or to do the needed modification in the internal process.
- Applying the TOB terms and exclusion on the MOB by creating the products of the policies on TATSH
- Payers and clients communications.
- Coordination with all parties to understand all treatment plans.
Job Requirements
- Bachelor's Degree required
- Experience from 1 - 3 years
- Medical insurance background is a must.
- Thorough knowledge and experience of Microsoft Office applications.
- Good in Microsoft Office applications (including Word, PowerPoint & Excel, and Outlook) and general Internet navigation and research skills Show flexibility, excellent interpersonal skills, and project coordination experience.
- Good communication skills.
- Females are preferred
