INSURANCE COORDINATOR
ZULEKHA HOSPITAL
Total years of experience :13 years, 6 Months
Getting approvals for both outpatient and inpatient services.
Following up of pending approval requests on priority basis.
Ensuring coverage of claims, guiding staff for correct usage of claim forms, approval papers.
Coordinating with insurance companies for obtaining information on new policies and their
coverage.
Explaining coverage of medical benefits to patients when required.
Assisting invoicing department in insurance processing and billing.
Liaising with insurance companies regarding eligibility and approvals.
Training and educating staff in insurance matters.
Maintaining and updating records related to pre-approvals and claims.
To coordinate and co-operate with colleagues of the same department and other related
departments for smooth running of Insurance operations.
Getting approvals for outpatient services.
Following up of pending approval requests on priority basis.
Ensuring coverage of claims, guiding staff for correct usage of claim forms, approval papers.
Coordinating with insurance companies for obtaining information on new policies and their
coverage.
Explaining coverage of medical benefits to patients when required.
Assisting invoicing department in insurance processing and billing.
Liaising with insurance companies regarding eligibility and approvals.
Training and educating staff in insurance matters.
Maintaining and updating records related to pre-approvals and claims.
Settlement of claims.
E-claim submission, resubmission.
Monthly Payroll management, Recruitment, Selection, Training, Daily contacts with supervisors and keep relationship, submitting monthly feedbacks, preparing duty schedule, Statements copying and filing.
PGDHRM