الوصف الوظيفي
Job Summary Direct and supervise all Medical Coordination activities and performance within the assigned Branch/Region. Coordinate all issues related to Branch/Region patients’ medical insurance with Insurance Companies. Coordinate any additional requirements with Medical Team to ensure full compliance with the approved Medical Insurance Policies. Ensure the daily revision of all documents related to all insurance patients to guarantee full consolidation. Receive, review and analyze rejections from all insurance companies. Duties and Responsibilities:
Responsible for overseeing the implementation of Magrabi established policies and procedures within the assigned Branch/Region.
Interfere with the Insurance Companies to solve and troubleshoot any problem related to patients’ Medical Insurance within the assigned Branch/Region.
Continuously review the efficiency of each Insurance Company’s response to Magrabi requests for approval and Claims and recommends solutions when needed
Develop Department Staffing Plan & Departmental Orientation Programs. Guide and Evaluate his/her Staff Performance, identify training needs & recommend training/development plans.
Ensure that all Out-Patient Credit activities within the assigned Branch/Region are monitored on daily basis.
Review Contracts and Price-lists to ensure that all have been applied correctly, and report any discrepancy to Contracts Department, Portal and IT for correction, either Internally or with 3rd party payers
المهارات
Bachelor’s Degree in Medicine or similar field.
Minimum three years experiences in medical insurance field.
Demonstrable working knowledge of Medical Insurance management theories and practices.
Demonstrable leadership & problem-solving skills and abilities to provide objective directions, guidance and management.
Excellent written & spoken communication skills (Arabic & English)
Demonstrable working knowledge of JCI & CBAHI standards.
تفاصيل الوظيفة
منطقة الوظيفة جدة, المملكة العربية السعودية
قطاع الشركة العيادات الطبية
طبيعة عمل الشركة صاحب عمل (القطاع الخاص)
الدور الوظيفي الطب والرعاية الصحية والتمريض
نوع التوظيف دوام كامل
الراتب الشهري غير محدد
عدد الوظائف الشاغرة 1
المرشح المفضل
المستوى المهني إدارة
عدد سنوات الخبرة الحد الأدنى: 3
*** تقدم على الرابط التالي : Apply on the following link ***
https://www.bayt.com/ar/saudi-arabia/jobs/health-insurance-coordination-manager-4113263/
سجل سيرتك الذاتية الآن مجانا لتتقدم لآلاف الوظائف، وتتواصل مع الآف الشركات (+40 ألف شركة)، فقط أكمل نموذج التسجيل
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