Assistant Manager Health Insurance

Shifa International Hospital Ltd

伊斯兰堡，巴基斯坦

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发布 d 天前 431 查看 Report Job

PKR. 100,000 - 125,000/Month

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)

技能

Negotiation Skills Key Account Management Client Acquisition Health Insurance Knowledge

工作详细内容

全部职位:

1 发布

工作时间:

早班

工作类型:

全职/长期工

部门:

Corporate Business Development

工作地址:

伊斯兰堡, 巴基斯坦

性别:

没有偏好

最低学历:

学士

学位头衔:

Bachelors Degree in Healthcare Administration/ Business Administration or MBBS

职位等级:

资深专业人员

经验:

6年 - 8年 (with a renowned insurance company or a hospital to manage end-to-end cycle of claim processing and management)

在之前申请:

Mar 03, 2025

发布日期:

Feb 17, 2025

Shifa International Hospital Ltd

· 4501-5000 员工 - 伊斯兰堡

关注

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).