Allied Health
Canadian Specialist Hospital
Dubai, United Arab Emirates
منذ 8 يوم

Job Details

  • Pharmacy insurance coordinator is responsible for coordination of insurance related jobs and training sessions within the department;
  • and if required in connection with other departments / insurance companies and patients.

    Insurance coordinator ensures all necessary insurance approvals are taken before dispensing during the respective shift.

    Insurance coordinator needs to takes the insurance approval, whenever required.

    To follow up with the insurance companies in case if there is any denial, without a proper reason for that or if the customer insists.

  • To follow up with the insurance companies for high value medicines like- Inj. Humira. (To check properly each lines of the authorization;
  • pharmacy bill and approval request- in order to avoid all possible rejections)

    To ensure that the approval code is entered in the respective field in SAGE POS bill. (If not, coordinate with the staff to do it).

    Daily check of previous day bills.

    To do the follow up with the FDOs for the wrongly entered insurance policy / plan / policy number / member ID in the system.

    To trace any bill details / insurance approvals, in case if the department (pharmacy / insurance) or the insurance company needs as a part of the audit / reconciliation.

    To train the staffs about the online approval platform.(e-claimlink; pbmlink; icare; pulse; openjet; etc.)

    To attend the insurance companies training programmes and to disseminate the information to the other staffs.

    قدِّم طلب ترشيحك
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    إزالة من الإشارات المرجعية
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    بريدي الالكتروني
    بالنقر فوق "متابعة"، عطي نيوفو الموافقة على معالجة بياناتي وإرسال تنبيهات البريد الإلكتروني لي، وفقًا لسياسة الخصوصية الخاصة بنيوفو. يمكنني إلغاء اشتراكي أو سحب موافقتي في أي وقت.
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