Oversees both internal and external insurance administration, including data collection and administration. Liaises with insurers and internal stakeholders to coordinate billing arrangements and ensures adherence to agreed formalities with insurance companies, minimizing objections and delays. Coordinates with various personnel such as Patient Relations, Nursing, Physicians, and Finance, and ensures prior authorizations for outpatient and inpatient services are monitored and followed up on. Analyses claims before submission, reconciles paid and outstanding claims, prioritises accurate and thorough work, anticipates departmental needs, resolves problems with sound judgment, and supports hospital and departmental policies and procedures.
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