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ESP Engineered

Remote / Global

Insurance coordinator

  • د.ب.‏22500 BHD Per annum

Job Summary

Salary Range:
د.ب.‏22500 BHD Per annum
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Job Description

1. Insurance Verification & Pre-Authorization

Eligibility Checks: Verify patient insurance coverage, benefits, and co-pay requirements before appointments.

Prior Authorization: Coordinate with physicians and insurance companies to obtain approvals for surgeries, diagnostic tests, and specialist referrals.

Policy Interpretation: Explain complex insurance benefits, deductibles, and "out-of-network" implications to patients in plain language.

Claim Submission: Review and submit claims

Denial Management: Investigate rejected or denied claims, correct coding errors, and resubmit appeals to secure payment.

Revenue Tracking: Monitor "Days in Accounts Receivable" (AR) to ensure the clinic maintains healthy cash flow.

Financial Counseling: Assist patients in setting up payment plans for balances not covered by insurance.

Clinical Collaboration: Work with doctors and nurses to ensure documentation supports the medical necessity required by insurers.

Conflict Resolution: Act as a mediator when disputes arise between the insurance company and the patient regarding coverage.

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