Job Details
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Job Description
Summary:
- Leads the insurance function with the objective of streamlining the process of patient insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction.
Responsibilities:
- Review insurance policies.
- Analyze statistical data, such as mortality, accident, sickness, disability, and retirement rates and construct probability tables to forecast risk and liability for payment of future benefits
- Identify and analyze risks associated with policies.
- Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies.
- Monitors insurance discounts and rejections and prepares & submits periodic reports to the Finance Manager for review.
- Ensures that the insurance schemes are up to date on the system.
- Monitoring Claims quality per department to ensure claims verification according to insurance companies’ policies.
- Supervise and coordinate activities of workers engaged in collecting overdue payments for charge accounts, credit card accounts, or loans from customers of banks, loan
- department stores, oil companies, or other credit-card-issuing companies.
- Manage operations and productivity at an insurance department.
Job Requirements
Job Requirements:
- Graduation from faculty of Medicine is A MUST
- Previous experience in insurance is A MUST
- 3 years of experience in the same position
- Post-graduate Hospital Management Diploma preferred
- Previous Experience in Healthcare organization
Skills:
- Strong analytical thinking
- Detail oriented and timely delivery of projects
- Strong customer service and convincing skills
- Leadership
- Ability to gather and use data effectively
- Ability to handle multiple projects and issues at a time
- Awareness of surgical procedures and consumables
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