Job Requirements & Responsibilities:
Verify patients' insurance eligibility and coverage prior to treatment.
Obtain pre-approvals and pre-authorizations for procedures and services as required.
Submit insurance claims accurately and in a timely manner through the appropriate portals.
Follow up on pending, denied, or rejected claims and coordinate resubmissions or appeals.
Communicate with insurance companies, patients, and healthcare providers regarding claims and coverage issues.
Maintain accurate and organized records of claims, payments, and reimbursements.
Generate and submit periodic reports on claim status, revenue, and outstanding balances.
Proven experience in Hospital Insurance processes and coordination.
Handling insurance billing and reconciliation efficiently.
Expertise in insurance coding and related documentation.
Liaising and coordinating with insurance companies such as Al Koot Insurance, Glomed Insurance, QLM, Signa Insurance etc..
Ensuring accurate and timely processing of insurance claims and payments.
Maintaining comprehensive records and reports related to insurance activities.
Collaborating with accounts and other hospital departments to resolve insurance-related queries and issues.
Review and verify patient records, clinical notes, and charts for coding accuracy.
Ensure compliance with insurance policies, coding guidelines, and billing standards.
Identify and correct coding errors or discrepancies before claim submission.
Stay updated with current coding standards, payer requirements, and insurance rules.
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