JOB SUMMARY
The Officer - Insurance ensures the efficient and smooth processing of patient insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction. Responsible for timely insurance claim pre-authorization processing and training NMH staff on insurance protocols.
DUTIES & RESPONSIBILITIES
1. Monitors the daily admission and discharge process for obtaining a list of admitted patients for authorizations prior to discharge
2. Liaises with treating physicians to receive properly completed claim form requests for services which require approvals as per policy terms and conditions
3. Communicates to patients regarding their insurance policies, eligibility and entitlements
4. Liaises with insurance companies, forwarding medical histories or data to support pre-approval requests
5. Coordinates with colleagues and other related departments for smooth running of insurance operations
6. Controls the uncovered medicines in the system to avoid rejections (with IT assistance)
7. Follows up with insurance companies to facilitate urgent approvals required and reports critical issues to Insurance Manager
8. Liaises with insurance companies to minimize response time for approval and advises patients about rejections
9. Segregates authorizations received and forwards to concerned departments
10. Educates reception, nursing and paramedical staff on insurance protocols, new processes or modifications as notified by insurance companies from time to time
11. Receives letter of guarantees from international payers and forwards to concerned departments
12. Participates in weekly departmental meetings for updates and new processes
13. Enhances professional growth of self through participation in training programs, current literature and in service meetings
14. Attends meetings as required.
15. Performs other related duties as assigned by the Manager- Insurance.
JOB REQUIREMENTS
EDUCATION: Bachelor’s degree in finance or a related discipline.
EXPERIENCE: Preferably 5 years’ experience in the field of insurance with at least 3 years in Healthcare
PERSONAL ATTRIBUTES :
Technical: Familiar with medical terminology. Good typing speed.
Administrative Skills: Negotiation, Problem Solving and Organizational skills; Attention to Detail; Flair in Managing Files and Records, Designing Forms, and other Office procedures
Soft Skills: Good Communication and Inter-Personal skills
Computer Skills: MS Office (Word, Excel, Power Point, Outlook) and Typing in English & Arabic
Language Skills: Good in written and spoken English and Arabic
The New Mowasat Hospital was established in 1965. Ever since, the hospital has grown to become a leading provider of premium healthcare in Kuwait. Following its slogan, “Caring for generations”, the New Mowasat Hospital has proven its capabilities to maintain its position, and today, the hospital is a 100-beded facility that expands over an area of 27,000 square meters and offers a full range of medical services within its luxurious premises. The hospital is owned by Mowasat Healthcare Company (MHC) which is a publicly traded company on the Kuwait Stock Exchange. MHC is the healthcare arm of Nafais Holding Company which is focused on being the market leader within the Arabian Gulf in each of the business segments that they operate in.
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