الترخيص الطبي IP

Roles and Responsibilities
• Answer all incoming calls related to Inpatient authorizations following the Company guidelines and protocols. In case of call queues handle OP calls as well
• Reviews case records and reports, collects and analyzes data, evaluates client s medical status and defines needs and problems in order to provide proactive case management services
• Handle incoming client/provider emails for ongoing/escalated IP cases
• Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by various insurance policies
Qualification:
• Graduate Medical Qualification (MBBS Doctor)
• Familiarity with medical terminologies
• Excellent command over English (both verbal and written)
• Strong Customer Service Skills
• Prior experience in Insurance industry preferably TPA