Assistant Manager Health Insurance

Shifa International Hospital Ltd

Islamabad , Pakistan

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Posted 3 days ago 397 views 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)

Skills

Negotiation Skills Key Account Management Client Acquisition Health Insurance Knowledge

Job Details

Industry:

Healthcare / Hospital / Medical

Functional Area:

Sales & Business Development

Total Positions:

1 Post

Job Shift:

First Shift (Day)

Job Type:

Full Time/Permanent

Department:

Corporate Business Development

Job Location:

Islamabad, Pakistan

Gender:

No Preference

Minimum Education:

Bachelors

Degree Title:

Bachelors Degree in Healthcare Administration/ Business Administration or MBBS

Career Level:

Experienced Professional

Experience:

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

Apply Before:

Mar 03, 2025

Posting Date:

Feb 17, 2025

Shifa International Hospital Ltd

Healthcare / Hospital / Medical · 4501-5000 employees - Islamabad

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).