Medical Authorization Executive OP
Neuron LLC
مجموع سنوات الخبرة :6 years, 0 أشهر
- Call Center Setting-
Professionally answers inbound calls pertaining to eligbility, co-insurance, deductible and coverage of benefits of insured member.
Assessing & Processing medical claims - dental, optical, maternity & OP cases and provide verbal approval over the phone as well as in e-portal, emails & PBM.
It is a Private General Hospital with a total capacity of 187 beds, including Royal Suites and VIP
rooms. It offers a variety of services with multiple specialties in an all private room inpatient facility. Our
employees are drawn from around the globe and are well-trained in their respective area of expertise. Our
Out-Patient clinics are set up with highly advanced diagnostic, clinical and state-of-the-art medical
equipment.
Assigned OPD Specialties: Gastroenterology, OB-GYNAE, General Surgery, Psychiatry, Bariatric
Surgery, Oncology & Internal Medicine.
DUTIES & RESPONSIBILITIES
* Transcribes medical dictation by a doctor to provide permanent record of patient care i.e. Operative
reports, discharge summaries, and etc.
* Maintain the general filing system and file all correspondence.
* Generates daily statistics or census for every doctor’s consultation.
* Demonstrates an understanding of the medico-legal implications and responsibilities related to the
transcription of patient records to protect the patient and the hospital.
* Prepare application for sick leave attested by Dubai Health Authority and notify DHA for the infectious
diseases as per Hospital Protocol.
* Release medical records to the patient according to the rules and policy of the hospital.
* Answers incoming telephone calls or emails queries and resolved the issues accurately.
* Operates the designated word processing, dictation and transcription equipment as directed to
complete assignments.
* Perform other duties and tasks within the realm of knowledge and ability as required.
Reviewed & made sure that there is no omitted information. Responsible for medical claims OP & Reimbursement processing, completeness of requirements & updating client or insurance companies status of processing.
Answers enquries from different providers on the subject claim, eligibility, covered benefits & approval status.
Do basic accounting at the end of the month for payment to providers of their claims.
courses: NURSING- REGISTERED NURSE
(SECONDARY LEVEL)