Pre Approvals Specialist

• Communicate with insurance companies to obtain medical approvals and respond to the required medical inquiries.

• Follow up on cases and requests from the internal department and obtain the approval of the insurance company in the event of an extension request.

• Coordinate between insurance companies and hospitals in the case of external referrals and critical emergency referrals.

• Request medical reports from the rooms for admitting company patients or extending a patient’s stay and writing them on the computer to obtain medical approvals.

• Match insurance patient data with the submitted and attached data to avoid any fraud or rejection.

• Communicating with outpatient clinics to follow up on insurance company approvals.

• Follow up with endoscopy and chemotherapy cases and communicate with operations coordinators to facilitate operations procedures.