Company - Aster Pharmacy
Required Experience - 2 years in Medical Insurance
Location - Riyadh, Saudi Arabia KSA
Job Description
Designation: Insurance Specialist
Functional Area: Insurance / Medical Billing
Industry Type: Healthcare/ Cilincs/ Pharamacy
Key skills: Microsoft Office/ Accounts/ Finane
This role will be leading and managing the medical approvals, insurance claiming and Billing process with insurance companies and credit corporate sales accounts. Also working to minimize the rejections and collect payments within due dates to improve polyclinic profitability.
Accountabilities
>Medical Insurance Head Working on instant approvals for insurance guests, analyzing day to day data in order to improve the claiming process and operations.
>Reviewing and verifying the claims and all the required data/information.
>Verifying and checking the reports matching with “waseel” insurance companies’ systems (Tawuniya, DHS and Bupa).
>Communicating and negotiating with insurance companies in case of claims rejections to minimize it before reconciliations.
>Experience with healthcare providers in insurance will be an added point.
>Reviewing patient records using medical coding procedures.
>Examine claims, verify insurance eligibility, and record any medical charges and other payments or adjustments.
>Detecting any coding errors or performing any modifications needed.
>Assisting patients in obtaining and understanding medical benefits.
>Communication with other medical staff members and health insurance providers often occurs.
>Responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration forms.
>Liaise with concerned departments on their medical insurance claims and finalize it with other teams (Finance, IT..etc)
Desired Candidate Profile
Qualification: High School Diploma (Preferably University Graduate)
Language: English and Arabic (fluent spoken and written)
Work Environment
Indoors : 100%
Outdoors : 0%
Working Days : 6 Working Days
Days off : 1 Day Off
Working Hours : 8 hours Shifts to ensure continuous attendance to reception. (with 1 hour Rota break)
About Aster Pharmacy
Aster Pharmacy is a leading pharmacy retail chain in Dubai, UAE that operates under the Aster DM Healthcare group. With over two decades of experience in the pharmaceutical retailing industry, Aster Pharmacy is committed to promoting good health and happiness within communities.
Source: LinkedIn