Medical Doctor
DAMANA
Bahrain,Manama,Manama
منذ 5 يوم
source : drjobs.ae
  • Consult with the Provider RelationDepartment for any discrepancy in price or CPT code of the providerpre-approval.
  • Coordinate & follow upwith Clinical Team for any complex admission case.
  • Respond to clients / members calls and queries related totheir pre-approvals status , eligibility, plan benefit coverage andother queries related to member’s policy terms &conditions.
  • Handle medical cases related toareas of specialization.
  • Book every call / complaint and Support the Customer Service Department for any queryrelated to clients’ pre-approvals.
  • Assist in the department process improvements and makerecommendations to Team Leader.
  • Processrequests for pre-certification from providers (hospitals / clinics)in the approvals module of the Company’s ClaimsManagement System (CMS) by applying policy terms andconditions.
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