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Key Responsibilities
- Manage the pre-approval process.
- Ensure that pre-approvals are obtained in time for all OP cases (TAT of 6 hours)
- Insurance protocols and guidelines complied effectively.
- To check all the supporting documents before submitting for pre-approval thereby reducing multiple queries and delays.
- Check all the Eligibility and Co-payment to avoid rejections
- To be in continuous contact with physicians and Insurance companies to close all the approvals within the TAT
- Work closely with the submission and resubmission department to ensure that the process is completed as per the standard protocols and submitted on time and respond to all queries within the day.
- Ensure billing issues are sorted and first review of claims done within 24 hours to proceed further for immediate submission and eliminate Time denials-to check with concerned billers and UIC on status
- Create second in line for all leave coverage
Eligibility Criteria
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Overall 3+ years of experience in Customer Care/Insurance department in Aster DM Healthcare, UAE..
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Must have knowledge on Insurance pre-approval process.
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Must have experience working with submission and re-submission
Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands.
For more details please visit our website https://www.asterdmhealthcare.com/
Medcare Hospitals and Medical Centres (Medcare), the premium healthcare division of Aster DM Healthcare, is one of the pioneering healthcare providers in the region.
With a focus on delivering a patient-centric journey as well as encouraging clinical excellence and state-of-the-art care, Medcare operates three multi-specialty hospitals including Medcare Hospital Safa Park Dubai, Medcare Hospital Sharjah and Medcare Women and Children Hospital in Dubai and one specialty hospital Medcare Orthopaedics & Spine Hospital. In addition, it has three specialty centres and 12 multi-specialty centres in key locations across Dubai and Sharjah.
With a team of 350+ qualified healthcare professionals, Medcare promotes and supports the highest standards in preventive, curative and rehabilitative healthcare.
