HC Medical Coordinator

Job Responsibilities

Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements
Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization.
Acts as a liaison between the organization, its insurance provider, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.
Responsible for filing and tracking insurance claims and informing employees of their claims status
Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
Prepares insurance forms and associated correspondences
Liaise with employees regarding their eligibility and entitlements
Maintains strict confidentiality related to medical records and other data
Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers
Coordinating with insurance companies for obtaining information on new policies and their coverage
To network with insurance companies to obtain accreditation as a provide
To advice the management on insurance matters.
To coordinate and co-operate with colleagues and other related departments for smooth running of operations.

Preferred candidates should have :

Candidates must have significant UAE experience
At least 4 to 5 years of experience in Insurance or Claims
University Degree Holder
Familiar with standard concepts, practices, and procedures in Medical Insurance
Excellent written and verbal communication skills