Medical Insurance Coordinator

A Medical Insurance Coordinator plays a vital role within healthcare facilities, responsible for managing and coordinating medical insurance claims and administrative processes. The coordinator works closely with patients, healthcare providers, and insurance companies to ensure smooth and accurate handling of medical insurance claims, authorizations, and billing. This role plays a critical part in facilitating effective communication between patients and insurance entities while adhering to UAE healthcare regulations and standards.

Responsibilities:

• Assist patients in understanding their medical insurance coverage, benefits, and claim processes in compliance with UAE regulations.
• Collect and verify patient information and insurance details to initiate insurance claims accurately and efficiently.
• Coordinate with healthcare providers to obtain pre-authorization for medical procedures, surgeries, and treatments from insurance companies.
• Verify patient eligibility and coverage before initiating treatments or services.
• Prepare and submit medical insurance claims to relevant insurance companies, ensuring all required documentation is included.
• Track and follow up on pending claims, resolving any discrepancies or issues that may arise during the claims process.
• Coordinate with the finance department to ensure accurate billing of services provided to patients.
• Facilitate the reimbursement process by providing necessary documents and information to insurance companies.
• Communicate with patients to explain insurance coverage, co-pays, deductibles, and out-of-pocket expenses.
• Educate patients about the medical insurance process and help them navigate any inquiries or concerns.
• Maintain organized and accurate records of patient insurance information, claims, and authorizations.
• Ensure compliance with data protection and confidentiality regulations when handling sensitive patient information.
• Assist in resolving disputes or issues related to claim denials, coverage discrepancies, or billing errors with insurance companies.
• Stay updated on UAE healthcare regulations and insurance industry changes that may impact claim processing and patient coverage.

• Proven experience (typically 2+ years) in medical insurance coordination within a healthcare setting, specifically in the UAE.
• In-depth knowledge of UAE medical insurance regulations, policies, and procedures.
• Familiarity with medical terminology, procedures, and diagnosis codes (ICD-10, CPT, etc.).
• Excellent communication skills in both English and Arabic, as well as strong interpersonal skills.
• Proficiency in using medical software, electronic health records (EHR), and insurance claim management systems.
• Attention to detail, accuracy, and strong organizational skills.
• Problem-solving abilities to address insurance-related issues and discrepancies.
• Ability to maintain a professional and empathetic demeanor while interacting with patients.