Provide all kinds of insurance assistance to center department and
doctor.
• Send authorization request to insurance companies.
• Receive approvals from insurance companies and resend denials
queries.
• Receive remittance advice and upload to center software.
• Analyzes the rejections from the XML remittance advice.
• Sort out the rejection as per denial reason.
• Sends the rejected claims for the respected doctors for justifying the
claims if necessary and follow up with the doctors within the specified
time.
• Coding and resubmission in Insta.

• Submitting & Resubmitting claims of different medical centers (EMC,
TMC, DMMC, EJMC, Health go, Dr. Nasser, SMC, Duo prime, Hope,
Ansari, Medline)
• Handling claims of different insurances - Oman, Daman - basic, network
5,Thiqa , Inayah, mednet, Fmc, Next care, Aafiya, Nas, Adnic, Neuron.
• Claim re-submission and Sending the requests to doctors for the
confirmation of diagnosis/services
• Checking bill payments and copay as per the agreed discount
• Notify bulk rejections and discussing it with corresponding insurance
• Coordinate meeting for the coders for denial management & doubt
clarification & updating on weekly basis
• Checking approvals and eligibility
• Supporting documents are collected and attached with the claim for
resubmission