Claims Coordinator

Claims Coordinator

The Claims Coordinator plays a pivotal role in ensuring seamless communication and approval processes between NMC Hospitals, Clinics, insurance companies, and direct service providers. This role is responsible for managing patient admissions and special services ordered by physicians, facilitating approvals, and maintaining accurate records.

• Receives and sends approval requests to insurance and direct companies for patient admissions and special services.
• Verifies and processes claim forms, ensuring all necessary documents are attached.
• Coordinates with insurance companies for follow-ups, extensions, and disapprovals, keeping patients and the admission office informed.
• Works closely with physicians to provide additional justifications when required.
• Enters approvals into the Hospital Management Information System (HMIS) and coordinates with insurance companies for extended stays.
• Performs additional tasks as assigned by superiors.

The ideal candidate will possess a Bachelor of Science degree in Business Administration, with a major in Management, and a minimum of three years of experience in the accounting field, preferably in patient accounts. Proficiency in English and Arabic typing, computer literacy (MS Office), and a good knowledge of English and medical terminology are essential.