Under the supervision of the Audit Team leader; reviews, sends and follows-up preapproval requests received from various departments in the facility. Coordinates with the Billing Team and other teams of RCM Department in regards to any concerns relating to pre approvals. Responds to quires related to insurance coverage/Approvals of patients and assists in the same regard.

Responsibilities

Assists in training newly inducted staff about various insurance protocols.

Monitors, dispatches approvals and does follow up of pending / rejected cases.

Coordinates with the doctors of NMC Hospital DIP & Insurance Companies in regards to justification of rejected approvals.

Coordinates with PRO, Billing and Front office teams for updation of approval status.

Handles all insurance related queries of staff and patients.

Prepares reports of daily productivity as requested by management and assists management in month end reporting as requested.