Insurance Claims Officer

Job Purpose:

The Insurance Claims Officer ensures accurate processing of insurance claims and timely reimbursements.

Key Responsibilities:

• Verify patient insurance coverage, eligibility, and pre-authorization requirements.
• Prepare, submit, and follow up on insurance claims to ensure timely reimbursements.
• Review claim documents to ensure accuracy and compliance with insurance provider requirements.
• Address claim rejections and coordinate with insurance companies to resolve disputes.
• Maintain up-to-date records of claims, payments, and patient documentation.
• Provide guidance to patients on insurance policies and claim procedures.
• Collaborate with billing and finance teams to reconcile insurance payments.
• Monitor trends in insurance claims and recommend process improvements.
• Ensure compliance with hospital policies, insurance regulations, and confidentiality standards.
• Prepare monthly reports on claims status and outstanding reimbursements.

Requirements:

• Diploma or degree in Insurance, Business Administration, or a related field.
• Minimum of 2 years’ experience in claims processing, preferably in a healthcare environment.
• Strong attention to detail and knowledge of medical insurance policies.

How to Apply:

All applications will be received and Reviewed through BrighterMonday Portal by Clicking on the 'Apply Here' section