Medical Coordination Officer

Serves as the Medical Coordination Officer for Magrabi Hospitals & Centers to manage and coordinate obtaining Medical Insurance Companies' approvals for patients' surgical procedures and different medical services.

Duties and Responsibilities:

1. Responsible for the application and implementation of the established Magrabi Hospitals & Centers policies and procedures related to Patients Medical Insurance approval.
2. Liaises with the Medical Insurance Companies in order to obtain approvals for the patients surgical procedures and different medical services.
3. Continuously reviews the efficiency of obtaining approval from each Company and updates the Medical Coordination Manager in this regard to recommend changes to the contract when needed.
4. Consults medical staff regarding any additional requirements to obtain Medical Insurance Companies approvals.
5. Notifies the patient upon obtaining the medical insurance company response (Approval/Disapproval).
6. Utilizes Magrabi approval cycle to notify the concerned department/s of the request approval status.
7. Notifies the Medical Coordination Manager about all disapproved cases with all related documents.
8. Maintains, implements and documents all quality improvement policies and activities in his/her area inside the department.
9. Performs other tasks and duties which are within his/her qualifications and capabilities as directed by the department head.

Knowledge, Skills and Experience Required

1. Bachelor's Degree as a minimum. (Nursing background is preferred).
2. Demonstrable working knowledge & Experience of Medical Insurance management and practices.
3. Good command of Medical Terminology.
4. Good command of written and spoken English.
5. Computer Skills is a MUST.
6. Good Communication skills and ability to work under pressure and achieve set targets.
7. Demonstrable working knowledge of JCI & CBAHI standards.