Employer Active
0 - 2 years
AED 12 - 2
Any Nationality
N/A
1 Vacancy
Claim collection and submission
Track and update claim form from the assigned pharmacies
Conducts daily claims audit and make timely corrections
Prepares reconciliation of internal branch transfer of assigned pharmacies
Administers total insurance operations
Updates the resubmitted rejections and the settlements details of claims in the system on a monthly basis
Submits all documents (claims related) for all pharmacies in all modes ( Paper claims, eclaims and EDI) with supporting documents within agreed timeline per month
Lists insurance companies and record discount rates
Daily activities
Reviews claims to make sure that billing requirements are met
Updates accounts as necessary, answers inquiries, and makes recommendations for resolution
Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
Performs data entry and filing to record patient and insurance data
E- claims submission
Monitors timely online submission by pharmacies
Follow up with pharmacies for missing documents to Re submit rejected e-claim/paper claim
Validates and submit e-claims on a monthly basis
Job interactions
Coordinates with pharmacies for follow up of insurance submission and resubmission
Works closely with insurance companies for resubmission follow up of claims
Minimum Experience
Full Time