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.
- Responsible for the application and implementation of the established Magrabi Hospitals & Centers policies and procedures related to Patients Medical Insurance approval.
- Liaises with the Medical Insurance Companies in order to obtain approvals for the patients’ surgical procedures and different medical services.
- 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.
- Consults medical staff regarding any additional requirements to obtain Medical Insurance Companies’ approvals.
- Notifies the patient upon obtaining the medical insurance company response (Approval/Disapproval).
- Utilizes Magrabi approval cycle to notify the concerned department/s of the request approval status.
- Notifies the Medical Coordination Manager about all disapproved cases with all related documents.
Skills
- Bachelor’s Degree.
- Demonstrable working knowledge & Experience of Medical Insurance management and practices.
- Good command of Medical Terminology.
- Good command of written and spoken English
- Computer Skills is a MUST
- Good Communication skills and ability to work under pressure and achieve set targets