Claims Manager

• Achieving the goals though getting complete, fully-justified claim from the clinics, continuous orientation of the hospital physicians on dealing with company patient, implications of different insurance policies terms and approval requisitions and keeping them aware of the concept of medical insurance.
• Preparation of monthly statistics and reports that reflect technical and medical claim errors
• Arranging periodical departmental staff meetings to monitor and solve problems, discuss department needs and share staff comments and suggestions for improvement.
• Ensure the timely finalization of hospital monthly claim to different insurance companies
• Supervise claim staff revision of claims before submission to the companies in order to ensure it is complete.
• Revision of some replies from the companies for clarification, provision of service cost and final comments upon which the service will be provided to the patient.
• Ensuring smooth flow of work by solving the company patients’ problems and facilitating. Rendering them the required services according to their company’s policies
• Continuous monitoring and evaluation of work process within the department to ensure that all processes are up to the implemented standards.
• Achieve the target in providing the patients with the best quality care and to ensure that the provided services are up to the departmental standards and to ensure customer satisfaction
• Keeping on informed of the terms and conditions of the new and renewed insurance policies to facilitate rendering services for the customer
• Occasional preparation of medical reports and response against any inquiries or more detailed information requested by different companies in order to get the company approval [in the absence of the treating doctor].
• Coordination and arrangement of transfer of patients referred for admission from other hospitals to our hospital.
• Provide Daily report and monthly documented report to Executive Director.
• Comply & participate in safety program and performance improvement activities
• Participates in hospital committee functions as assigned.
• Participates in orientation of newly hired staff as assigned.

*** تقدم على الرابط التالي : Apply on the following link ***
https://www.naukrigulf.com/claims-manager-jobs-in-jeddah-saudi-arabia-in-secondary-hospital-in-western-region-10-to-14-years-jid-100819600002