Senior Associate.Insurance.Aster Hospital, Al Qusais (Br. Of Aster DM Healthcare FZC)

Senior Associate.Insurance.Aster Hospital, Al Qusais (Br. Of Aster DM Healthcare FZC)

Aster DM Healthcare
0-2 years
Not Specified

Job Description


JOB DESCRIPTION
Claim collection and submission
  • Track and update claim form from the assigned pharmacies
  • Conducts daily claims audit and make timely corrections
  • Prepares reconciliation of internal branch transfer of assigned pharmacies
  • Administers total insurance operations
  • Updates the resubmitted rejections and the settlements details of claims in the system on a monthly basis
  • Submits all documents (claims related) for all pharmacies in all modes ( Paper claims, eclaims and EDI) with supporting documents within agreed timeline per month
  • Lists insurance companies and record discount rates

Daily activities
  • Reviews claims to make sure that billing requirements are met
  • Updates accounts as necessary, answers inquiries, and makes recommendations for resolution
  • Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
  • Performs data entry and filing to record patient and insurance data

E- claims submission
  • Monitors timely online submission by pharmacies
  • Follow up with pharmacies for missing documents to Re submit rejected e-claim/paper claim
  • Validates and submit e-claims on a monthly basis

Job interactions
  • Coordinates with pharmacies for follow up of insurance submission and resubmission
  • Works closely with insurance companies for resubmission follow up of claims

ABOUT THE TEAM
Aster Hospitals, one of the largest private healthcare service providers in GCC, aim to make a difference with our patient-centric approach to medical care and an inherent emphasis on clinical excellence. Currently, Aster Hospitals are located in 4 countries in the GCC specializing in primary, secondary and tertiary healthcare.
These include Aster Hospitals (Mankhool and Al Qusais) in UAE, Aster Al Raffah Hospitals (Muscat, Sohar and Ibri) in Oman, Aster Hospital (Doha) in Qatar and Aster Sanad Hospital (Riyadh) in Kingdom of Saudi Arabia delivering on a simple yet strong promise to its people: 'We'll treat you well.' Overall, Aster DM Healthcare Group has a strong presence in GCC and is an emerging healthcare provider in India with 25 hospitals, 116 clinics and 238 pharmacies manned by 20,500+ workforce (including approx. 1250 doctors on fee for service basis) from across the geographies.

Job Details

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ABOUT US 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/

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