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Job Description

Duties and Responsibilities:


  •  Assure accuracy of approval requests by checking medical data for appropriateness of information.
  • Interact with multidisciplinary teams in the identification of related services and procedures for approval process.
  •  Use the medical background to review & liaise with doctors and nursing staff for medical reports and data information to assure that approvals are granted.
  •  Liaise with insurance companies to fasten approval process and assure service approvals.
  •  Sending & follow of the rejected medical approval concerning the companies for all inpatient & outpatient.
  •  Performs other tasks and duties within the scope of the knowledge skills and experience required for the job; as assigned by the immediate manager or department head.
  • Maintaining and monitoring rejection data.
  •  Answering the inquiries concerning the patients.
  •  Performs other Applicable tasks and duties assigned within the realm of his knowledge, skills activities.
  • Treat people with dignity, compassion, and respect.
  •  Provide personalized coordinated care, and support for patients and families.

QUALIFICATIONS:


  •  Bachelor’s Degree in Healthcare sciences.

PROFESSIONAL EXPERIENCE:


  • Minimum 2 years’ experience in medical insurance.
  •  Minimum 2 years’ clinical experience

SPECIALIZED SKILLS :


  •  Skills and computer literate.
  •  Excellent in verbal and written communication.


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