DUTIES AND RESPONSIBILITIES: 

• Coordinates with stakeholders to ensure that all the formalities as agreed with the 

insurance companies are followed to minimize objections from them and delays in 

clarifications to the insurance companies: 

o Patient Relations 

o Nursing 

o Physicians 

o Finance 

• Monitors and follows up on prior authorization for outpatient services wherever 

required and all Inpatient services. 

• Conducts claims analysis before submission to insurance companies by Finance. 

• Reconciles claims paid and outstanding with insurance companies and coordination with Finance. 

• Demonstrates functional and business knowledge required for the job and applies 

that in following the requirements of Insurance Companies in the Hospital. 

• Anticipates and sets priorities to support department needs and follows policies and 

procedures for achieving them. 

• Supports the Hospital Policies and Procedures. 

• Supports the Department Policies and Procedures. 

• Follow up in imaging pending request and scheduled appointments. 

QUALIFICATIONS & SKILLS: 

• Bachelor's Degree in Finance 

PROFESSIONAL EXPERIENCE: 

• Minimum of three (3) years of experience in a similar field 

• Excellent English verbal and written communication skills 

• Computer literacy is essential 

• Very good understanding of hospital operations 

• Intermediate to Advanced Microsoft Office

• Strong leadership experience 

• Excellent relationship management 

• Organised and thorough 

• Excellent analytical and organisation