Medical Insurance Senior Specialist

Job description

The role leads and manages medical approvals, insurance claiming and billing processes with insurance companies and corporate sales accounts. It aims to minimize rejections and collect payments on time to improve polyclinic profitability. Accountabilities include: instant approvals for insurance guests, daily data analysis, reviewing and verifying claims and required information, matching reports with insurance systems (Tawuniya, DHS, Bupa), negotiating with insurers to reduce rejections, reviewing patient records using coding procedures, examining claims and verifying eligibility, detecting coding errors and making adjustments, assisting patients with medical benefits, communicating with medical staff and insurers, updating internal databases for patient records and billing, and liaising with relevant departments to finalize claims.

Requirements

• High School Diploma or University Graduate
• 2 years experience in Medical Insurance
• proficient in Microsoft Office
• fluent in English and Arabic (spoken and written)
• experience with healthcare provider in insurance

Skills