Senior Officer - Insurance Pre-Authorization
Full time
at Power International Holding
in
Qatar
Posted on May 8, 2024
Job details
Job Summary The Senior Officer – Insurance Pre-Authorization will secure pre-approvals for all contracted payers and assist patient with insurance coverage. Job Responsibilities 1 Studies insurance plans used most frequently with patients to understand the various nuances to communicate more effectively. Documents basic insurance information in the patient’s file for quick reference. Processes and submits insurance claims daily. Monitors and follows up on outstanding claims. Provides the appointment coordinator with patient names and amounts due, so effective collection over the counter can take place during the day. Identifies patients in the daily schedule who are a financial concern, notes payment problems on the patient’s chart, and arranges a conference with them either before or at the time of the appointment. Records all financial discussions with patients in their file. Contacts patients who have not kept their financial agreement within a 5-day grace period to collect payment following the financial plan. Prepares and mails patients’ statements each month on a regular billing cycle. Sends information as requested by insurance companies such as x-rays, charting, narratives, and other documentation for processing the claim when applicable. Provides insurance predetermination documentation to patients, contacts the patient to make financial arrangements, and schedules treatment. Corresponds with insurance companies to resolve payment delays, requests for additional information, or to discuss denied treatment coverage. Job Responsibilities 2 Handles all inquiries concerning insurance daily. Contacts physician’s office to obtain current prescriptions and clinical documentation that is required by the plans. Validates that the clinical documentation received is what is required by the plan. Follows up on all pending PA’s within 48 hours. Responds to urgent requests in a timely manner. Submits all new Complex authorization approvals and/or Complex re -authorization approvals through the Complex audit process. Initiates re-authorizations that are set to expire 30 days prior to the term date. Skills Job Knowledge & Skills Proficient in all Microsoft Office applications as well as medical office software. Sound knowledge of health insurance providers. Deep knowledge of Revenue Cycle Management within Billing, Collections, and Remittance posting. Ability to work in a fast-paced environment. Billing/Coding certification(s) preferred but not required. Knowledge of payer websites, processes, local, state, and federal requirements Job Experience Minimum 2 years of experience in healthcare (required). Proven experience in healthcare billing. Minimum 1 years’ experience with data analytics (required). Minimum 2 years of experience in GCC (preferred). Competencies Accountability Collaboration Leadership Quality Resilience Education Bachelor's Degree in Nursing or Science Certificate in any related field #J-18808-Ljbffr
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/> <br /> To provide Mechanical Package project engineering and management for multiple Gas Compressor Packages for Redevelopment Project, in accordance with Project Management Framework.<br /> <br /> <b>Principal Accountabilities</b></p> <ul> <li>Client Focal Point and responsible for leading, coordinating, supporting, providing expertise and management guidance with regards to core discipline Package.</li> <li>Facilitate and manage the interfacing and collaboration between Client PMT, EPIC Contractor and Package Vendor during all stages of the Package life cycle execution as appropriate.</li> <li>Participate in the preparation of scope of work, tender packages, tendering process, evaluation of tenders and submissions with appropriate recommendations to relevant Tender Committees.</li> <li>Promote value engineering and evaluation of alternative solutions to optimize cost and schedule.</li> <li>Monitor & control Contractor/Vendor performance in timely delivery and review of 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Validate and endorse the Value of Work done against Contractor/Vendor's invoices.</li> <li>Is responsible for and makes decision on behalf of The company for acceptance and handover of the Package from Contractor/Vendor in accordance with policies and procedures.</li> <br /> <br /> <br /> <li><b>Context / Special Features / Challenges</b></li> <br /> <li>Experience in drawing up scope of work and integrating various stakeholder requirements.</li> <li>Exposed to multi-disciplinary, multi-cultural environment requiring excellent interpersonal skills.</li> <li>Exposed for extended periods of time to assignments overseas.</li> <li>Exposed to Contractor/vendor Manufacturing Worksites, Fabrication yards and Offshore work environments during, construction, installation, hook-up, pre-commissioning, commissioning, start-up, and handover.</li> <br /> <br /> <br /> <li><b>Qualifications / Knowledge / Skills / Experience</b></li> <br /> <li>B.Sc. in an Engineering discipline from a recognized University; higher degree would be advantageous.</li> <li>Membership in a recognized professional engineering/project management association/institution will be an added advantage.</li> <li>A minimum of twelve (12) years of experience in engineering, project management, Package management and execution of major EPIC projects in Offshore oil & gas.</li> <li>Specific work experience in execution of Process/Gas Compression Packages and their integration with the overall Topsides facilities.</li> <li>Effective communication (presentation, report writing, and management of meetings) skills.</li> <br /> <br /> <br /> <li><b>About Petroplan</b><br /> <br /> Petroplan is the trusted, specialist global Talent Solutions partner of choice for employers and professionals in the Energy sector. Since 1976, Petroplan has been here to help people like you make the most of the opportunities available and find the best fit for you as an individual.<br /> <br /> Over 10,000 placements in more than 55 countries for over 550 clients across 65 disciplines.<br /> <br /> In an industry where skilled and experienced professionals are increasingly sought after resource, we appreciate the true value of what you have to offer. What's more, we understand that different things are important to different people in today's world of work - it's about making exactly the right connections for you as an individual.<br /> <br /> Our reputation for contractor and candidate care, understanding what makes you tick, and finding you the best match is second-to-none. We understand the industry inside-out and seek to understand YOU and your motivations in the same way. We take the time to evaluate your individual strengths, understand the most important things to you, and establish exactly what you're looking for from your next role.</li> </ul> ', 'pay_status' => 'Free', 'external_job_description' => null, 'course_qualifications' => null, 'global_location_id' => '252', 'gender' => '0', 'baseSalary' => null, 'salary_duration' => 'Monthly', 'job_type' => 'Full time', 'salaryFrom' => null, 'salaryTo' => null, 'currency_id' => null, 'hide_salary' => '0', 'benefits' => null, 'salary_type_id' => null, 'travel_type_id' => null, 'travel_id' => null, 'education_id' => null, 'education_background' => null, 'language_id' => null, 'position_level_id' => null, 'position_type' => null, 'number_of_staffs_mange' => null, 'experiance' => null, 'sales_experience' => null, 'sales_focus' => null, 'sales_cycle_id' => null, 'reporting_to' => null, 'otherAssignments' => null, 'otherConsiderations' => null, 'ideal_candidate' => null, 'company_info' => null, 'company_id' => '2150', 'company_name' => null, 'external_apply_url' => 'https://www.rigzone.com/oil/jobs/postings/1243355_senior_mechanical_package_engineer/&utm_campaign=JS_ME_LAIMOON&utm_source=EMEA_ME_ENG&utm_medium=PD_AG_LAIMOON', 'external_short_url' => '11d4698d44201a32', 'apply_url' => null, 'contributed' => '0', 'created' => '2024-05-25 01:30:47', 'published' => '2024-05-25 00:00:00', 'closed_time' => null, 'updated' => '2024-05-25 01:30:47', 'hideCompany' => null, 'hide_contact_info' => '0', 'application_count' => '0', 'closed' => '0', 'draft' => '0', 'rejected' => '0', 'deleted' => '0', 'moderated' => '1', 'boosted' => '0', 'rejectnote' => null, 'job_extended' => '0', 'purchased' => '0', 'seeder_id' => '31', 'source_id' => null, 'course_keywords' => null, 'shortlist_magic_applied' => '0', 'shortlist_magic_keywords' => null, 'living_in' => '0', 'age_limit' => null, 'is_managerial' => '0', 'application_email' => null, 'quality_score' => null, 'reopened' => '0', 'quality_type' => 'White', 'promoted' => '0', 'snippet' => ' ... Job Title: <strong>Senior</strong> <strong>Mechanical</strong> <strong>Package</strong> <strong>Engineer</strong> (Gas Compressor) Reports to: Head , ( ... 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With more than 80 offices in 45 countries, we are able to provide our clients with the engineering and technical expertise they need, wherever and whenever it is needed. 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With more than 80 offices in 45 countries, we are able to provide our clients with the engineering and technical expertise they need, wherever and whenever it is needed. 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Need to attend to and resolve conflicts, challenges and problems related to a large multi-cultural and multi-discipline technical workforce.</li> <li>Exposed to Offshore work environments during fabrication, installation, hook-up, commissioning, start-up and handover.</li> <li>Activities executed with the highest required level of confidentiality.</li> </ul> <br><b>Qualifications / Knowledge / Skills / Experience</b><br> <ul> <li>B.Sc. degree or Higher in Instrumentation & Controls or Electrical Engineering from a recognized university; higher degree would be advantageous.</li> <li>Membership of a relevant recognized professional engineering association/institution is preferable.</li> <li>A minimum of 15 years' experience mainly in instrumentation design in Oil & Gas Industry, with an Oil & Gas Company or Contractor/Consultant, of which of which at least 10 years should have been in offshore Oil & Gas processing projects.</li> <li>Of the 15 years' experience, a minimum of 8 years should have been a senior discipline Engineer in a major project and a minimum of 7 years as Lead Discipline in design of major projects in a reputable engineering consultant, EPIC contractors or Oil & Gas Company.</li> <li>Fully familiar with Shell DEP's and other international design codes and standards.</li> <li>Familiar with E&I and Telecom softwares and design review.</li> <li>Familiar with all types of EPIC deliverables, equipment, design and construction progress reviews.</li> <li>Proven ability to manage multi-discipline engineering team in a major project environment.</li> <li>Knowledge in Construction, Pre-commissioning, Commissioning, start-up procedures review and approval for various instrumentation systems in line with international codes and standards.</li> <li>Strong technical, planning, communication, reporting and leadership skills.</li> </ul> <br><br><b>About Petroplan</b><br> <br>Petroplan is the trusted, specialist global Talent Solutions partner of choice for employers and professionals in the Energy sector. Since 1976, Petroplan has been here to help people like you make the most of the opportunities available and find the best fit for you as an individual.<br> <br>Over 10,000 placements in more than 55 countries for over 550 clients across 65 disciplines.<br> <br>In an industry where skilled and experienced professionals are increasingly sought after resource, we appreciate the true value of what you have to offer. What's more, we understand that different things are important to different people in today's world of work - it's about making exactly the right connections for you as an individual.<br> <br>Our reputation for contractor and candidate care, understanding what makes you tick, and finding you the best match is second-to-none. We understand the industry inside-out and seek to understand YOU and your motivations in the same way. 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Project tracking of the laboratory chemical storage project from commencement to end timely & financially with all the specified deliverables.<br /> <br /> <b>Minimum Qualifications:</b></p> <ul> <li>Bachelor's Degree in Civil Engineering.</li> </ul> <p><b>Minimum Experience:</b></p> <ul> <li>Formal training in Project Management is required.</li> <li>A sound knowledge of relevant Computer applications including MS Office suite of applications (Word, Excel, PowerPoint) and project management related applications including Primavera, MS Project and AutoCAD.</li> <li>Candidates needs to have sound knowledge of QCS's fifth edition, that was released in 2014 is Mandatory</li> <li>Experience in communication with goverment bodies / regulatory bodies based in Qatar is Mandatory.</li> </ul> <p><b>Required Skills:</b></p> <ul> <li>At least 10 years' experience in managing construction, commissioning & hand over of engineering projects in refinery / petrochemical / chemical plants with a demonstrable track record in compliance with Health, Safety & Environment standards.</li> <li>Previous exposure to engineering & construction Codes, Standards and recommended practices including QCS, API, NFPA, OSHA, and ASTM is essential.</li> <li>Coordination and management of Projects requires extensive interaction with Mesaieed Industrial City (MIC), QCDD (Qatar Civil Defence Department), KAHRAMAA, OOREDOO authorities and other regulatory bodies for obtaining approvals to cross common boundaries. This often involves extensive negotiations.</li> <li>Supervision of the Contractors. Required to directly supervise Contactor's employees, which may number up to 100. Contractors (employees), generally of a diverse mix of nationalities and language groups.</li> <li>Coordination and management of Projects requires extensive scheduling and advance planning capabilities to foresee and avoid delays. The Project Engineer shall demonstrate expert abilities in this area to assist all stakeholders (Plant Management and Contractor) in achieving or improving upon targets.</li> </ul> <p> </p> <p>With over 90 years' combined experience, NES Fircroft (NES) is proud to be the world's leading engineering staffing provider spanning the Oil & Gas, Power & Renewables, Chemicals, Construction & Infrastructure, Life Sciences, Mining and Manufacturing sectors worldwide. With more than 80 offices in 45 countries, we are able to provide our clients with the engineering and technical expertise they need, wherever and whenever it is needed. We offer contractors far more than a traditional recruitment service, supporting with everything from securing visas and work permits, to providing market-leading benefits packages and accommodation, ensuring they are safely and compliantly able to support our clients.</p> ', 'pay_status' => 'Free', 'external_job_description' => null, 'course_qualifications' => null, 'global_location_id' => '252', 'gender' => '0', 'baseSalary' => null, 'salary_duration' => 'Monthly', 'job_type' => 'Full time', 'salaryFrom' => null, 'salaryTo' => null, 'currency_id' => null, 'hide_salary' => '0', 'benefits' => null, 'salary_type_id' => null, 'travel_type_id' => null, 'travel_id' => null, 'education_id' => null, 'education_background' => null, 'language_id' => null, 'position_level_id' => null, 'position_type' => null, 'number_of_staffs_mange' => null, 'experiance' => null, 'sales_experience' => null, 'sales_focus' => null, 'sales_cycle_id' => null, 'reporting_to' => null, 'otherAssignments' => null, 'otherConsiderations' => null, 'ideal_candidate' => null, 'company_info' => null, 'company_id' => '1304162', 'company_name' => null, 'external_apply_url' => 'https://www.rigzone.com/oil/jobs/postings/1241740_project_civil_engineer/&utm_campaign=JS_ME_LAIMOON&utm_source=EMEA_ME_ENG&utm_medium=PD_AG_LAIMOON', 'external_short_url' => '9690325e5941ec46', 'apply_url' => null, 'contributed' => '0', 'created' => '2024-05-22 01:16:02', 'published' => '2024-05-21 00:00:00', 'closed_time' => null, 'updated' => '2024-05-22 01:16:02', 'hideCompany' => null, 'hide_contact_info' => '0', 'application_count' => '0', 'closed' => '0', 'draft' => '0', 'rejected' => '0', 'deleted' => '0', 'moderated' => '1', 'boosted' => '0', 'rejectnote' => null, 'job_extended' => '0', 'purchased' => '0', 'seeder_id' => '31', 'source_id' => null, 'course_keywords' => null, 'shortlist_magic_applied' => '0', 'shortlist_magic_keywords' => null, 'living_in' => '0', 'age_limit' => null, 'is_managerial' => '0', 'application_email' => null, 'quality_score' => null, 'reopened' => '0', 'quality_type' => 'White', 'promoted' => '0', 'snippet' => ' ... <strong>Engineer</strong>" Position: - Civil Project <strong>Engineer</strong> The Project <strong>Engineer</strong> ... market-leading benefits <strong>packages</strong> and accommodation, ... 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TECHNICIAN (RADIATION PROTECTION)<br /> <br /> <b>Primary Purpose of Job</b><br /> Support the implementation of the Radiation Protection Program for VI Operations and assist the Senior Radiation Protection Officer on all matters relating to radiation.Inspect radiation sources and radiation producing equipment's and monitor radiation levels to ensure radiation use in the workplace is safe and that workers are protected from unnecessary exposure.<br /> <br /> <b>Education</b><br /> -Diploma (two years after high school) as a minimum in a discipline of engineering or science. -Successfully completed Radiation Safety Training course in industrial applications recognized by Regulatory authority. -Successfully completed NORM Surveyor course. -Valid licensing as a Radiation Worker by a Regulatory authority.<br /> <br /> <b>Experience & Skills</b><br /> - Minimum Level-5 English proficiency with ability to communicate effectively at all levels. - Minimum of 6 years as a Radiation Worker/Safety Technician including at least 3 years exposure in the oil and gas or petrochemical industry. - Knowledge of using radiation equipment to carry out field radiation surveys and contamination measurements - Good computer application and reporting skills - Good investigation and analytical skills - Good problem solving and motivational skills - Ability to work under pressure during emergency situations - Ability to obtain Qatar Driving License<br /> </p> ', 'pay_status' => 'Free', 'external_job_description' => null, 'course_qualifications' => null, 'global_location_id' => '176', 'gender' => '0', 'baseSalary' => null, 'salary_duration' => 'Monthly', 'job_type' => 'Full time', 'salaryFrom' => null, 'salaryTo' => null, 'currency_id' => null, 'hide_salary' => '0', 'benefits' => null, 'salary_type_id' => null, 'travel_type_id' => null, 'travel_id' => null, 'education_id' => null, 'education_background' => null, 'language_id' => null, 'position_level_id' => null, 'position_type' => null, 'number_of_staffs_mange' => null, 'experiance' => null, 'sales_experience' => null, 'sales_focus' => null, 'sales_cycle_id' => null, 'reporting_to' => null, 'otherAssignments' => null, 'otherConsiderations' => null, 'ideal_candidate' => null, 'company_info' => null, 'company_id' => '1980066', 'company_name' => null, 'external_apply_url' => 'https://www.rigzone.com/oil/jobs/postings/1241739_sr_technician_radiation_protection/&utm_campaign=JS_ME_LAIMOON&utm_source=EMEA_ME_ENG&utm_medium=PD_AG_LAIMOON', 'external_short_url' => 'd2192617328c40a9', 'apply_url' => null, 'contributed' => '0', 'created' => '2024-05-09 03:13:40', 'published' => '2024-05-08 00:00:00', 'closed_time' => null, 'updated' => '2024-05-09 03:13:40', 'hideCompany' => null, 'hide_contact_info' => '0', 'application_count' => '0', 'closed' => '0', 'draft' => '0', 'rejected' => '0', 'deleted' => '0', 'moderated' => '1', 'boosted' => '0', 'rejectnote' => null, 'job_extended' => '0', 'purchased' => '0', 'seeder_id' => '31', 'source_id' => null, 'course_keywords' => null, 'shortlist_magic_applied' => '0', 'shortlist_magic_keywords' => null, 'living_in' => '0', 'age_limit' => null, 'is_managerial' => '0', 'application_email' => null, 'quality_score' => null, 'reopened' => '0', 'quality_type' => 'White', 'promoted' => '0', 'snippet' => ' ... 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Hiring company
Power International Holding
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