طارق القضاه

hospital

Discussing In-patient cases with treating doctor’s investigating their needs form both medical and insurance point of view. - Issuing admission visas and approval forms. - Following closely the required procedures for out-patient management. - Evaluating cases in respect of medical necessity and insurance coverage. - Responding to all medical inquiries. - Manual evaluation of provider’s and processing claims. - Visiting hospitals and doctors according to needs.
Auditing claims commensurate with the contracts with insurance companies. To communicate with insurance companies for situations that require it . Supervising sent books of insurance companies to admissions. A review of insurance companies by the official books, in cases missed discounts unlawfully. Supervision of the input section to get the approvals in each case the crisis are set to hospital. Meeting every four months, part of a committee concerned with contracts and the prices of insurance companies and modifies what needs to be modified. Pay claims when sending remittances from the insurance companies and audit them....

My responsibility in the medical al-takhsess group: management and the formulation of insurance contracts with insurance companies, overseeing the preparation of claims, insurance audits of claims from doctors before being exported to the insurance companies, the follow-up to pay companies, audit firms in excess deductions for discount contract, in addition to their number of insurance tasks Medical