Industry: Other
Location: Dubai
We are hiring an Insurance Coordinator who has similar experience for 3-5 years in Dubai with Pharmacy Group or Insurance Companies.
Job Purpose : Organize and follow up on claim submissions, payments, and receivables in order to meet required payments.
1. Organize monthly insurance submission, by collecting the
total pharmacies claim and submit them to the insurance companies’ submission date compliance.
2. Follow up on due payments and collect them from the
insurance companies against the submitted claims to meet
the budgeted receivables.
3. Follow up on remittance advice related to the received
payments from the insurance companies and forward them
to Accounts to allocate the payments on time to meet the
budget.
4. Set reconciliation processes with insurance companies to
close the year end statement with the insurance company
and minimize the receivables to meet the budget.
5. Provide the required details for the E-claims remittance
advice to reduce errors in claims by going directly the
company.
6. Coordinate with the related companies to conduct the
training for pharmacists including E-claims system and PBM to ensure all pharmacists master using the e-claim system.
7. Follow up on rejected claims to avoid losses.
8. Follow up on the renewed annual contracts for the listed
insurance companies to ensure due contract renewals and
adding the new listed companies.
EXPERIENCE & QUALIFICATION: Minimum Qualification: University degree, pharmacy preferred.
SKILLS, KNOWLEDGE & ABILITIES: Good negotiation and communications skills.
[ Apply at: [javascript protected email address] ]