MEDICAL INSURANCE COORDINATORFull Time

Position Overview

We are seeking a highly organized and detail-oriented Medical Insurance Coordinator to join our dynamic team at Dallah Healthcare Company in Riyadh. This full-time position plays a pivotal role in ensuring seamless coordination between healthcare providers, insurance companies, and patients. The ideal candidate will possess a strong understanding of medical insurance processes, exceptional communication skills, and the ability to manage multiple tasks efficiently in a fast-paced environment.

Key Responsibilities

• Insurance Verification and Authorization: Conduct thorough verification of patient insurance coverage, ensuring accuracy and compliance with regulatory standards. Liaise with insurance providers to obtain necessary authorizations for medical procedures and treatments.
• Claims Management: Process and submit medical claims to insurance companies, ensuring timely follow-up on pending or denied claims. Identify discrepancies and resolve issues to maximize reimbursement for healthcare services.
• Patient Coordination: Act as a liaison between patients, healthcare providers, and insurance companies to facilitate smooth billing and payment processes. Address patient inquiries regarding insurance coverage, billing statements, and financial responsibilities with professionalism and clarity.
• Documentation and Record Keeping: Maintain accurate and up-to-date records of insurance policies, patient information, and claim statuses. Ensure compliance with data privacy regulations and company policies at all times.
• Regulatory Compliance: Stay informed about changes in healthcare regulations, insurance policies, and industry best practices. Implement necessary adjustments to ensure adherence to legal and organizational requirements.
• Collaboration and Reporting: Work closely with cross-functional teams, including billing departments, medical staff, and administrative personnel, to streamline insurance-related processes. Generate reports on claim statuses, reimbursement rates, and operational efficiency as required.

Qualifications and Skills

To excel in this role, candidates must meet the following criteria:

• A bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field. Relevant certifications in medical billing, coding, or insurance coordination are highly desirable.
• A minimum of 2-3 years of experience in medical insurance coordination, claims processing, or a similar role within the healthcare industry.
• Proficiency in medical billing software, electronic health records (EHR), and insurance claim management systems. Familiarity with ICD-10, CPT, and HCPCS coding is a plus.
• Strong analytical skills with the ability to interpret insurance policies, medical terminology, and billing codes accurately.
• Excellent verbal and written communication skills in both English and Arabic, with the ability to interact effectively with diverse stakeholders.
• Exceptional organizational abilities, including the capacity to prioritize tasks, meet deadlines, and manage multiple projects simultaneously.
• Demonstrated commitment to maintaining confidentiality and adhering to ethical standards in all professional interactions.

Why Join Dallah Healthcare Company?

As a leading healthcare provider in Saudi Arabia, Dallah Healthcare Company is committed to delivering exceptional patient care and operational excellence. We offer a competitive salary and benefits package, including health insurance, professional development opportunities, and a collaborative work environment. If you are passionate about healthcare administration and eager to contribute to a team dedicated to improving patient outcomes, we encourage you to apply for this exciting opportunity.