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Assistant Insurance Manager

1.00 to 10.00 Years   Kuwait   13 Sep, 2024
New _Mowasat _Hospital
1 Jobs Openings
Job LocationKuwait
EducationNot Mentioned
SalaryNot Mentioned
IndustryMedical Hospital
Functional AreaNot Mentioned

Job Description

Job Summary:The ideal candidate will be a qualified medical doctor or nurse with 3-5 years of experience in the insurance industry and/or hospital setting. This role requires a deep understanding of ICD and CPT coding, medical billing guidelines, and proficiency in managing insurance claims.The Assistant Insurance Manager will play a key role in ensuring accurate and efficient processing of insurance claims, while also supporting the insurance department in various administrative tasks. Key Responsibilities:

  • Oversee and manage the day-to-day operations of the insurance department, including the submission, resubmission, and follow-up of insurance claims.
  • Ensure accurate coding of medical services using ICD and CPT codes in compliance with current medical billing guidelines.
  • Collaborate with medical staff, finance, and IT teams to resolve discrepancies and optimize the billing process.
  • Conduct audits of medical claims to identify and correct errors, ensuring compliance with insurance policies and regulations.
  • Develop and maintain detailed reports using Excel to monitor claim status, reimbursement trends, and department performance.
  • Create and deliver presentations using PowerPoint to communicate key insights and updates to senior management.
  • Assist in the training and development of insurance department staff on billing procedures and guidelines.
  • Stay updated with changes in insurance policies, medical coding standards, and billing regulations to ensure compliance.
Qualifications:
  • Medical doctor or nurse with 3-5 years of experience in an insurance company and/or hospital setting.
  • In-depth knowledge of ICD and CPT coding, as well as medical billing guidelines.
  • Strong analytical skills with proficiency in Excel and PowerPoint.
  • Excellent communication and interpersonal skills.
  • Ability to work collaboratively with cross-functional teams.
  • Attention to detail and a commitment to accuracy.

Keyskills :

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