We are Hiring an Insurance Coordinator!

Job Description

Assists the Manager, Claims Operation on all Insurance issues and coordinates with internal and external customers and Insurance Companies with direct billing arrangements with Retail Pharmacies

Duties and Responsibilities

Your main responsibilities in this role include the following: –

• Complete the empanelment of insurance of all pharmacies
• Coordination with following appropriate personnel to ensure that all the formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies, and follow up on prior E- authorization.
• E-Claims analysis prior to their submission to insurance companies by Finance.
• E-Reconciliation of claims paid and outstanding with insurance companies and coordination with Finance.
• Monitors the pending list on a daily basis
• Complete knowledge of insurance policies and protocols
• Makes accurate, thorough and appropriate work a priority
• Identify and analyse problems, take action to resolve, apply sound judgment and take responsibility for their resolution

Job Requirements

-At least three years in similar field.
-Recommended Experience at least three years’ experience in the -field of insurance and eRx authorization process
-Recommended knowledge of coverage of insurance companies and exclusions
-Skills and ability to relate to approvals and denials of the insurance company
-Excellent English communication skills are a must
-Proven computer skills essential.

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