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.
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.