Insurance Administrator

MAIN PURPOSE OF JOB

To provide comprehensive insurance administration services aimed at efficient and prompt insurance pre-authorisation

KEY RESPONSIBILITY AREAS

To process approvals and submission of information accurately to ensure eligibility and approvals are confirmed

Prepare relevant cost estimates based on regulator rules, including DRG calculations

Daily management of pending cases and follow up on outstanding information requirements

Ensure prompt implementation and compliance with relevant insurance polices

Prepare and distribute relevant reports

Provide accurate and prompt insurance information and feedback to patients and team members

REQUIRED EDUCATION

A relevant Diploma or Bachelor’s degree from an accredited institution

Coding certificate (CPC)

REQUIRED EXPERIENCE

At least 2 years’ experience in a healthcare setting with relevant medical insurance exposure

REQUIRED JOB SKILLS AND KNOWLEDGE