Insurance Coordinator
Samaya Specialized Center
Total years of experience :8 years, 4 Months
Insurance Coordinator
- Obtained approvals from various insurance companies for both Dental and Ophthalmology utilizing both paper and electronic authorization.
- Coordinated with Insurance Companies for coverage, rejections and queries involving authorizations.
- Uploaded approvals in the software and encoding the data in excel sheet for tracking purposes.
- Organized and sorted approved and rejected request in preparation for patient booking schedule.
- Checked the Surgery Booking List to validate patient’s request for surgery.
- Verified Claims for Dental and Ophthalmology and ensuring Insurance Claims are accurately and timely processed.
- Involved in the Submission of Claims together with the Insurance Team, IT, Reception, and Accounts.
- Resubmitted rejected claims.
- Provided prompt assistance to colleagues for any insurance related matters.
- Liaised with insurance providers, doctors, medical coders, and rarely patients regarding eligibility, schedule of benefits, and other queries.
Medical Instrument Sales / Insurance Coordinator
- Assisted the In-Charge Pharmacist in preparing medicines to be dispensed and getting involved in dispensing as the need arises.
- Assisted customers decide over an array of over-the-counter medications, cosmetics, medical instruments, and general items.
- Handled stock receive, inter-branch transfer, and shelving while strictly observing first-in-first-out policy.
- Prepared lists of shortages and routinely checked expiries for proper clearance.
- Timely submission and re-submission of claims and major shifted remittance from 90 days to a maximum of 30 days duration.
- Liaised with insurance companies regarding eligibility, payments, authorizations, and reconciliations without delay.
- Resolved problems resulting from claim statement and properly informed management and colleagues regarding new policies and coverage.
- Recorded doctor’s order on prescription book.
- Supervised the dispensing of medicines as provided by law.
- Entertained medical representatives or sales agents, prepared purchase orders, and issued checks to suppliers.
- Monitored expiry and maintained updated inventory of all drug items.
- Counseled patients regarding medications.
Bachelor of Science in Pharmacy Major in Community Pharmacy