Job Summary

Case Management Officer  (Patient Financial Services Officer) - Responsible for performing eligibility verification, maintains proper pricing and authorization practices for proposed services, reviewing financial documentation, validation of coding appropriateness and financial clearance activities to maintain continuity of in-patient billing processes.

Main Job Duties 

• Receives elective admission requests from clinics’ teams and physician referrals.
• Determine if patients are eligible for treatment prior to provision of services.
• Eligibility, Authorization and cost estimation:
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• Documentation and Coding Support
• Financial Counselling
• Enhance clinical efficiency, cost effectiveness and patient experience.

Minimum Job requirement

• Bachelor degree in Nursing.  
• 2-4 years of clinical experience.
• 1-3 years medical insurance experience.  

 Skills

• Excellent written and verbal communication skills.
• Incident/accident reporting procedures. 
• Competencies in data entry & analysis.
• Organizational, time-management, computer and administrative skills.
• Good Knowledge in email etiquette.