Medical Insurance Coordinator

Job Description and Requirements
JOB SUMMARY

Assists the business center management in medical administration of the business. Participate in creation of contractual agreements with clients.

KEY RESPONSIBILITIES

Providing the medical support to approval section.
Providing the medical support to claims processing center.
Provide the medical support to billing section.
Holding the responsibilities of medical director during his absence.
Coordinating with the medical staff for the clients contracts, requirements and forms.
Coordinate with Ins. Co. for Rejection & Reply of Insurance Company rejections.
Responsible for Reconciliation with Ins. Co. for final settlement.
Responsible for Reconciliation with Ins. Co. for final settlement.
Fully aware and actively implement the departmental policies and procedures, and JCI, ISO and Aramco standards or requirements related to the department.
Actively involves in indicator development, data collection for the department and to measure the performance of the function, process, and outcome.  Whenever required, conducts analysis and interpretation of data/information collected.
Participate in hospital Safety Management & Risk Management Programs. Actively reports incidents in the system and whenever needed, participates in incident review, and root cause analysis.
QUALIFICATION and EXPERIENCES

MBBC
Experience related to the field.

*** تقدم على الرابط التالي : Apply on the following link ***
https://www.akhtaboot.com/en/saudi-arabia/jobs/riyadh/129007-Medical-Insurance-Coordinator—at-Non-Medical