Medical Coordination Manager

Duties and Responsibilities:

• Responsible for overseeing the implementation of Magrabi established policies and procedures within the assigned Branch/Region.
• Interfere with the Insurance Companies to solve and troubleshoot any problem related to patients’ Medical Insurance within the assigned Branch/Region.
• Continuously review the efficiency of each Insurance Company’s response to Magrabi requests for approval and Claims and recommends solutions when needed
• Develop Department Staffing Plan & Departmental Orientation Programs. Guide and Evaluate his/her Staff Performance, identify training needs & recommend training/development plans.
• Ensure that all Out-Patient Credit activities within the assigned Branch/Region are monitored on daily basis.
• Review Contracts and Price-lists to ensure that all have been applied correctly, and report any discrepancy to Contracts Department, Portal and IT for correction, either Internally or with 3rd party payers

Skills

• Bachelor’s Degree in Medicine or similar field.
• Minimum three years experiences in medical insurance field.
• Demonstrable working knowledge of Medical Insurance management theories and practices.
• Demonstrable leadership & problem-solving skills and abilities to provide objective directions, guidance and management.
• Excellent written & spoken communication skills (Arabic & English)
• Demonstrable working knowledge of JCI & CBAHI standards.

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