Medical Approval Officer

Job Description :

Claims medical review verifies all information mentioned in the claim (services/treatments with the given diagnosis, coverage, and exclusions)Communicate with all doctors regarding missing required information or filling mistakes or rejection details and the cause.Updates doctors about the Insurance Exclusions & Policies on a regular basis.Prepares report of the medical errors of the claims or other reports/statements as and when needed.Checks documents and registration status and maintains departmental records and files.Documents medical claims actions by completing forms, reports, logs, and records.Answers any inquiries regarding insurance claims, missing documents, error corrections status.Protects operations by keeping claims information confidential.Adheres to all hospital policies, procedures and guidelines in addition to insurance regulationsManage deductions , rejection and reclaiming process. 

Job Requirements :

Pharmacist or any university degree minimumminimum 2 years experience in hospitals ,medical insurance companies in the same position.