Insurance coordinator pre approvals

Submitted by uhs1654 on Wed, 01/13/2021 - 11:04
Job Description
Approval coordinator experience(IP&OP) Entering signed Network agreements between Insurance Companies and UHS in the Hospital software. Verifying the requests from doctors based on medical conditions. Taking approvals for requests that require approvals. Processing claims in the system on daily basis. Auditing the invoices before sending them to Insurance Companies. Preparing claims submission statements on monthly basis for submitting invoices to Insurance Companies. Deducting the payments from the statement of each Insurance Company. Coordinating with Insurance Companies for queries related to medical claims. Reconciling the claims that are short-paid/ rejected with valid medical reports. Coordinating with doctors for medical reports and queries from Insurance Companies. Informing the patients after receiving the approvals. Medical background  Arabic speaking (preferred)  
Job category
Job Code
14
Job Department