Senior Medical Approval
Al-Moosa Specialist Hospital
Total des années d'expérience :11 years, 6 Mois
Preparing all medical reports related to the case.
Sending request to insurance company and follow up as needed to get approval.
Sending request to Armco company (JAHA) and follow up as needed to get approval.
Sending both approvals and referrals for patient under MOH.
Sending approvals for General Organisation for Social Insurance (GOSI).
Communicate with insurance companies to get approval in timely frames.
Interact with multidisciplinary teams in the identification of related services and procedures for approval process.
Handling Outpatient and Inpatient cases.
Auditor the approvals of surgical operation list in daily base.
Preparing all medical reports related to the case.
Sending request to insurance company and follow up as needed to get approval.
Communicate with insurance companies to get approval in timely frames.
Communicate with the Doctors, insurance companies to facilitate services for patients.
Update insurance policy details on patient file.
Filling all the data’s.
Preparing and organize all documents for insurance (DCAF, Radiology reports, approvals and bills) monthly.
Claim auditor for insurance bills.
Greet clients and visitors with a positive, helpful attitude.
Assisting clients in finding their way around the office.
Announcing clients as necessary.
Helping maintain workplace security by issuing, checking, and collecting badges as necessary and maintaining visitor logs.
Assisting with a variety of administrative tasks including copying, taking notes, and sending emails.
Answering phones in a professional manner, and routing calls as necessary.
Assisting colleagues with administrative tasks.
Performing ad-hoc administrative duties.
Answering, forwarding, and screening phone calls.
Sorting and distributing mail.
Provide excellent customer service.
Scheduling appointments.
Answer ICU patients request’s and preparing approval from MOH.
Sending Approval request to MOH for patient who came to ER in which they don’t have insurance or theirs not covered in the hospital.
Make rounds in ICU ward to collect data.
Preparing annually, monthly and daily statistic of ICU cases.
Claim auditor for MOH patients.