Medical Advisor Full Time

Position Summary:

The Medical Advisor is responsible for the administration and data collection of internal and external insurance administration. Liaising with insurers and internal stakeholders to coordinate billing arrangements and insurance administration.

Statement Of Values:

An employee of the American Hospital Dubai is expected to promote the mission and philosophy of the hospital by acting in a caring, courteous and confidential manner towards patients, visitors, colleagues and staff by performing their duties and responsibilities according to the expected standards in order to fully meet patient care needs.

Duties And Responsibilities:

• Coordinate with stakeholders
• Coordination with following appropriate personnel 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:

Patient Relations

Nursing

Physicians

Finance

• Monitoring and follow up on prior authorization for outpatient services wherever required and all Inpatient services
• Claims analysis prior to their submission to insurance companies by Finance
• Reconciliation of claims paid and outstanding with insurance companies and coordination with Finance
• Demonstrates functional and business knowledge required for the job and applies that to following the requirements of Insurance Companies in the Hospital and follow-up with the Companies
• Makes accurate, thorough and appropriate work a priority
• Anticipates and sets priorities to support department needs and follow policies and procedures for achieving them
• Identify and analyze problems, take action to resolve, apply sound judgement and take responsibility for their resolution
• Supports the Hospital Policies and Procedures
• Supports the Department Policies and Procedures

Qualifications & Skills:

• Degree in Medicine
• Very good understanding of hospital operations
• Intermediate to Advanced Microsoft Office
• Strong leadership experience
• Excellent relationship management
• Organised and thorough
• Excellent analytical and organisation

Professional Experience:

• Certificates in Hospital Management
• Strong understanding of Insurance
• Strong leadership skills with an ability to successfully negotiate and influence stakeholders