Job Description
About the job
- Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines.
- Coordinating with any requirements from Insurance companies and following insurance protocols
- Checking all the coverage and member eligibility
- Informing front desk staff for any new protocols received from insurance companies
- Ensuring approvals are received with correct details
- Ensure that the invoices are correctly done in line with what is approved
- Working with problem claims & denials
- Co-ordination OP cases regarding various CPT codes used for accurate and effective Billing
- Ensuring Pre-approval process is done as per the DHA coding guidelines
- To liaise with patients regarding their eligibility, entitlements, and coverage of medical benefits
- Assist on submitting the claims on timely manner.
- The Junior Insurance Coordinator must be clear and concise in communication to Insurance companies, doctors, and patients.
- Adheres to dress code, appearance to maintain neat and clean
- Always maintains and ensure patient confidentially
- Reports to work on time and as scheduled
- Work at maintaining a good rapport and cooperative working relationship with Insurance companies, doctors, and patients.
Job Types: Full-time, Permanent
- License/Certification: Coders License (Required)