Medical Insurance Manager

confidential
Eastern Province
SAR 150,000 - 200,000
Job description

Responsibilities:

  • Verify patient eligibility and coverage before services.
  • Send patients approvals for services and medications.
  • Submit claims timely with complete documentation.
  • Collections.
  • Reconciliations.
  • Resolve insurance-related issues and patient inquiries.
  • Respond to claims rejections and resubmit as needed.
  • Maintain accurate records and perform account reconciliations.
  • Collaborate with providers and billing departments for efficiency.

Preferred Qualifications:

  • Knowledge of medical insurance policies.
  • Excellent communication and detail-oriented skills.
  • Ability to work under pressure and meet deadlines.
  • Proficiency in medical billing software.
  • Strong analytical and problem-solving abilities.

Transportation:

  • The candidate must have transportation for visiting insurance companies regularly.

Iqama Transferable:

  • Immediate transfer.

Skills:

  • Proficiency in Arabic and English is mandatory.
  • In-depth knowledge of medical insurance policies and procedures.
  • Familiarity with healthcare regulations and compliance standards.
  • Proficient in data analysis and reporting.
  • Strong organizational and multitasking abilities.
  • Excellent negotiation and conflict resolution skills.
  • Ability to work collaboratively with cross-functional teams.
  • Proficient in Microsoft Office Suite and insurance management software.
  • Strong customer service orientation.
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