• Responsible for overseeing and managing the insurance-related operations in the hospital
  • Establishing a swift and automated system for verifying insurance benefits/ limits, submitting pre-authorizations, ensuring fast-track approval from the insurance companies, monitoring admitted patients for coverage limits, extensions and enhancements, and final approval
  • Training front-end hospital staff about the eligibility and evidential documentation requirements of each insurance patient, i.e. room and services entitlement, co-payment model (if any), and approval process
  • Ensuring proper financial counseling of the patient/ family and the insurer by providing realistic treatment estimates
  • Educate patients about their insurance coverage, assist in resolving queries, and facilitate smooth coordination between the hospital and insurance companies.
  • Work closely with the finance, billing, and medical coding departments to streamline insurance operations and minimize claim rejections
  • Monitor claim trends, generate reports on claim status, and provide recommendations for process improvement
  • Communicate with insurance companies and clients to resolve any issues or discrepancies in insurance claims. Assist clients in navigating the insurance claims process and provide them with the necessary support and guidance
  • Ensure compliance with local and international insurance laws, hospital policies, and medical coding guidelines (ICD, CPT, HCPCS)

نوکری کی تفصیلات

کل عہدے:
1 اشاعت
نوکری کی شفٹ:
پہلا پہر
نوکری کی قسم:
محکمہ:
Corporate Business Development
نوکری کا مقام:
جنس:
کوئی ترجیح نہیں
کم از کم تعلیم:
بیچلرز
ڈگری کا عنوان:
Bachelors Degree in Healthcare Administration/ Business Administration or MBBS
کیریئر کی سطح:
تجربہ کار پیشہ ور
تجربہ:
6 سال - 8 سال (with a renowned insurance company or a hospital to manage end-to-end cycle of claim processing and management)
اس سے پہلے درخواست دیجیۓ:
مارچ ۰۳, ۲۰۲۵
تاریخِ اِشاعت:
فروری ۱۷, ۲۰۲۵

Shifa International Hospital Ltd

صحت کی نگہداشت / ہسپتال / طبی · 4501-5000 ملازمین - اسلام آباد

Shifa International Hospitals Ltd. Islamabad is a 600+ secondary and tertiary healthcare facility, offering quality services to the local as well as international patient communities for over 25 years. The prestigious JCI accreditation has further strengthened our commitment and focus towards quality and patient safety. The hospital provides comprehensive diagnostic & treatment services in 35 plus clinical specialties under supervision of more than 200 Internationally Experienced & Fellowship Trained Consultants (The largest number of US and EU qualified Physicians and Surgeons under one roof in Pakistan).

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ملتی جلتی نوکریاں

Medical Order Processor

MMG Services, کراچی, پاکستان
فروری ۰۱, ۲۰۲۵ شائع ہوئی
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