• Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers.
• Getting approval for medical procedures.
• Coordinating with insurance companies for obtaining information on new policies and their coverage.
• Explaining coverage of medical benefits to patients when required.
• Assisting invoicing department in insurance processing and billing.
• Entertains patient queries regarding their eligibility and entitlement.
• Entertains patient’s quires regarding unpaid balance.
• Checking insurance card for details like (Card No, Policy No, Network coverage, validity and member benefits)
• Responsible for filling and tracking insurance claims and informing patients of their claims status.
• Prepares insurance forms and associated correspondences.
• Coordinating, liaise with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
• To liaise with patients regarding their eligibility and entitlements.
• To maintain strict confidentiality related to medical record and other data.
• To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.
• Attending OSH programs of BIH as a mandatory requirement.
• Complies with all OSH policies, procedures and legal requirements regarding OSHMS.
• Conducts his/her task in a healthy and safe manner at all times.
• Report any untoward events that will impact the occupational, safety & health of patients, staffs, contractors, facilities, operations, etc.
• All employees are personally accountable for their actions and are responsible for ensuring that they comply with infection prevention and control policies.
• Health care workers are responsible for identifying infectious conditions that require specific controls to protect themselves and their patients. In addition, they are responsible for notifying the infections prevention department.