Job Description

Accountabilities

• Medical Insurance Head Working on instant approvals for insurance guests, analyzing day to day data in order to improve the claiming process and operations.
• Reviewing and verifying the claims and all the required data/information.
• Verifying and checking the reports matching with “waseel” insurance companies’ systems (Tawuniya, DHS and Bupa).
• Communicating and negotiating with insurance companies in case of claims rejections to minimize it before reconciliations.
• Experience with healthcare provider in insurance will be an added point.
• Reviewing patient records using medical coding procedures.
• Examine claims, verify insurance eligibility, and record any medical charges and other payments or adjustments.
• Detecting any coding errors or performing any modifications needed.
• Assisting patients in obtaining and understanding medical benefits.
• Communication with other medical staff members and health insurance providers often occurs.
• Responsible for updating any internal databases, which electronically store and organize patients’ records, billing details, and registration forms.
• Liaise with concerned departments on their medical insurance claims and finalize it with other teams (Finance, IT..etc)
  

Employee’s duties are not limited only to the above-mentioned Accountabilities; he/she may perform other duties as assigned.

Work Environment

• Indoors : 100%
• Outdoors : 0%
• Working Days : 6 Working Days
• Days off : 1 Day Off
• Working Hours : 8 hours Shifts to ensure continuous attendance to reception. (with 1 hour Rota break)
  

Job Requirement

Education

• High School Diploma (Preferably University Graduate)
  

Experience

• 2years in Medical Insurance
  

Computer Skills

• Microsoft Office
  

Languages

• English and Arabic (fluent spoken and written)