Insurance coder& coordinator

Job Requirements & Responsibilities:

• Verify patients’ insurance eligibility and coverage prior to treatment.
• Obtain pre-approvals and pre-authorizations for procedures and services as required.
• Submit insurance claims accurately and in a timely manner through the appropriate portals.
• Follow up on pending, denied, or rejected claims and coordinate resubmissions or appeals.
• Communicate with insurance companies, patients, and healthcare providers regarding claims and coverage issues.
• Maintain accurate and organized records of claims, payments, and reimbursements.
• Generate and submit periodic reports on claim status, revenue, and outstanding balances.
• Proven experience in Hospital Insurance processes and coordination.
• Handling insurance billing and reconciliation efficiently.
• Expertise in insurance coding and related documentation.
• Liaising and coordinating with insurance companies such as Al Koot Insurance, Glomed Insurance, QLM, Signa Insurance etc..
• Ensuring accurate and timely processing of insurance claims and payments.
• Maintaining comprehensive records and reports related to insurance activities.
• Collaborating with accounts and other hospital departments to resolve insurance-related queries and issues.
• Review and verify patient records, clinical notes, and charts for coding accuracy.
• Ensure compliance with insurance policies, coding guidelines, and billing standards.
• Identify and correct coding errors or discrepancies before claim submission.
• Stay updated with current coding standards, payer requirements, and insurance rules.

Application

Job Type: Full-time

Pay: From QAR5,000.00 per month