Medical Coordination Manager

Medical Coordination Manager
Duties and Responsibilities:
Responsible for overseeing the implementation of Magrabi established policies and procedures within the assigned Branch/Region.
Interfere with the Insurance Companies to solve and troubleshoot any problem related to patients’ Medical Insurance within the assigned Branch/Region.
Continuously review the efficiency of each Insurance Company’s response to Magrabi requests for approval and Claims and recommends solutions when needed
Develop Department Staffing Plan & Departmental Orientation Programs. Guide and Evaluate his/her Staff Performance, identify training needs & recommend training/development plans.
Ensure that all Out-Patient Credit activities within the assigned Branch/Region are monitored on daily basis.
Review Contracts and Price-lists to ensure that all have been applied correctly, and report any discrepancy to Contracts Department, Portal and IT for correction, either Internally or with 3rd party payers
Skills
Bachelor’s Degree in Medicine or similar field.
Minimum three years experiences in medical insurance field.
Demonstrable working knowledge of Medical Insurance management theories and practices.
Demonstrable leadership & problem-solving skills and abilities to provide objective directions, guidance and management.
Excellent written & spoken communication skills (Arabic & English)
Demonstrable working knowledge of JCI & CBAHI standards.
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