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Job Description
- Monitor rejection rates, identify common issues and work on developing appropriate plans to decrease rejection rates.
- implement reporting systems to provide accurate and timely consolidated reports related to insurance amounts standings to meet the needs of SGH and facilitate follow-up activities.
- Monitor RCM Specialist claims activity collection and ensure execution as per agreed terms and timing with the insurance.
- Review and submit all approvals on-time.
- Review the documentation of all approval requests to ensure the accuracy and completeness of working papers, analysis, and results to support findings and recommendations.
- Provide insurance companies with requests on time and getting approvals from them also follow up all pending requests.
- Commit with submitting all requests in the due time
Job Requirements
- Not less That 3 years of experience in Approvals
- Medical Educational background
- Very Good Knowledge about CHI and KSA Market
- High level of leadership and Communication Skills
- Experience with KSA Market will be an Asset
- Ex health insurance companies is Mandatory
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