Job Description

About the job

• Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines.
• Coordinating with any requirements from Insurance companies and following insurance protocols
• Checking all the coverage and member eligibility
• Informing front desk staff for any new protocols received from insurance companies
• Ensuring approvals are received with correct details
• Ensure that the invoices are correctly done in line with what is approved
• Working with problem claims & denials
• Co-ordination OP cases regarding various CPT codes used for accurate and effective Billing
• Ensuring Pre-approval process is done as per the DHA coding guidelines
• To liaise with patients regarding their eligibility, entitlements, and coverage of medical benefits
• Assist on submitting the claims on timely manner.
• The Junior Insurance Coordinator must be clear and concise in communication to Insurance companies, doctors, and patients.
• Adheres to dress code, appearance to maintain neat and clean
• Always maintains and ensure patient confidentially
• Reports to work on time and as scheduled
• Work at maintaining a good rapport and cooperative working relationship with Insurance companies, doctors, and patients.
  

Job Types: Full-time, Permanent

• License/Certification: Coders License (Required)