Financial Counseling & Authorization Specialist

JOB DESCRIPTION
Responsible of obtaining authorization approvals whenever needed in the below conditions:

• Daman and contracted insurance as per the policy terms and conditions.
• Non Contracted insurance by communicating guaranty of payment.
  

The role holder is responsible of insurance labiality and fund reallocation for the rejected services under the ABM policy along with attending patient’s self-pay estimation whenever needed. Job holder will also communicate efficiently with internal/external stakeholders to ensure finalizing patients authorization requests. Should be responsible to counsel self-pay patients, collect, pre-payments, and outstanding balances following established collection procedures.
RESPONSIBILITIES

• Manages to receive and adjudicate approval requests through the agreed communication channels.
• Coordinates to do initial assessment of the approval request and do the needed internal...