Medical Insurance Coordinator/Officer
Al Salama Hospital
Total years of experience :2 years, 4 Months
April 2012 - Present: Al Salama Hospital
Tourist Club Area, Hamdan St. Abu Dhabi, UAE
Position: Medical Insurance Coordinator/Officer (2 Years and 2 Months Experience)
Job Description: • An Insurance Coordinator is responsible for coordinating with people from several departments.
• Receiving mails and distributing to various people in the office. Preparing administrative and functional report for the manager. Responsible for managing the day to day activities and performing clerical work for the department.
• Verifies information through a variety of means, ensuring that insurance information and authorizations provided are current, accurate and not approaching expirations.
• Determine the insurance policy coverage, including, but not limited to diagnosis, clinical procedures, investigations, medications, limits of coverage, patient responsibility, referral authorization requirements (Approvals) and lead time therefore, etc.
• Obtains necessary approvals from patients payer sources, documents said approvals on insurance verification form verifies participation status of insurance company for coverage and determines accuracy of recorded insurance company/payer information.
• Provide explanations and/ or guidance on insurance coverage.
• Participates in departmental orientation, on the job training and quality assurance and process improvement programs/initiatives.
• Act as Insurance Coordinator Liaison between the hospital and the insurance companies, for the benefits of the patients, attend all internal and external meetings of value as identified by Director of Operation.
• Coordinating between the hospital and insurance companies regarding eligibilities, coverage and sub-limits and guiding the doctor.
• Would be handling Health Insurance processing at the hospital.
• Should validate the claim documents and brief on the work done and any issues pertaining to the work at the hospital.
• Entertains patients' queries regarding insurance policy coverage and liaise with them regarding their eligibilities and entitlements.
• Assist the reporting head for any improvements/ changes to be made in the processes.
• Maintain strict confidentiality related to medical records and other data of the insured patient.
• Interacting with Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
• Communicating with supervisors, peers, or subordinates - providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
• Getting information - Observing, receiving, and otherwise obtaining information from all relevant sources.
• Updating and using relevant knowledge - Keeping up to date technically and applying new knowledge to the job.
• Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
• Organizing, Planning, and Prioritizing Work - developing specific goals and plans to prioritize, organize and accomplish tasks.
• Documentation/Recording Information - Entering, Transcribing, recording, storing, or maintaining information in written or electronic form.
• Performing Admininistative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
• Communicating with Persons outside Organization - communicating with people outside the organization, representing the organization to customers/patients, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
• Assisting and caring for others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as co-workers, customers, or patients.
• Other duties as assigned by Managers/Directors.