Description
Eve Medical Center LLC looking to hire a presentable and experienced Insurance Coordinator for a full-time role who is fluent in English and has prior experience working in a clinic. In this role, you will be mainly be responsible in managing and reimbursing insurance claims for all incoming patients and will report directly to the Chief Medical Officer of the company.
Other responsibilities will include, but not limited to:
- Review, interpret, abstract clinical information from medical records for the purposes of reimbursement, research and compliance utilizing established coding principles and protocols.
- Expert in medical record review to abstract information required to support accurate outpatient and coding.
- Expert in assigning accurate service codes for diagnosis and procedures performed in clinical setting.
- Responsible for claims submission, rejection, re-submission and all sorts of insurance documentations.
- Adhere to DOH Claims and Adjudication rules and coding guidelines.
- Obtain approval for medical/dental procedures.
- Inform patients of dental office procedures and policy.
- Move patients through appointments as scheduled.
- Enter all relevant patient information into data system.
- Maintain and manage patient records in compliance with privacy and security regulations.
- Answer and manage insurance related incoming calls.
- Complete and file insurance forms and dental billing records.
- Translate Clinical services into proper billable codes.
- Handle test results including x-rays and dispatch lab work appropriately.
- Organize referrals to other medical specialists.
- Communicate with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
- Explain the coverage of medical benefits to patients when required.
- Act as a resource for billing, pre-authorization, reimbursement issues and outpatient/dental.
- Ensure high level of patient data confidentiality.
- Check codes for each claim to avoid any errors to minimize rejections.
- Follow policies and procedures, completes administrative tasks accurately and on time.
Requirements:
To be considered for the role, the following criteria should be met:
- Proven experience working in a Clinic for at least 2 years.
- At least 1 year of experience as an insurance coordinator/dental coder.
- Have an excellent command in English.
- Knowledgeable with Clinical terminology.
- Excellent phone and in-person communication skills.
- Excellent organization, time management and multitasking abilities.
- An understanding of insurance guidelines and procedures.
- Skilled in using MS Office such as MS Word, Excel and Outlook.
- Knowledgeable on THIQA, DAMAN, ADNIC, NAS, and etc. on insurance eligibility and authorization process.
- Should need knowledge of empanelment
- Need to done future empanelment for new insurance company
- Pharmacy claims Procedure as well
- Ability to work 6 days a week.
Job Types: Full-time, Permanent
Salary: AED3,000.00 - AED5,000.00 per month
Ability to commute/relocate:
- Sharjah: Reliably commute or planning to relocate before starting work (required)
Education:
- Bachelor's (preferred)
Experience:
- Insurance Coordinator: 2 years (preferred)
License/Certification:
- Medical Insurance Coding Certificate (preferred)