Being managing and supervision of all the preapprovals and the claim cycle in the TPA starting from receiving the batches, medical auditing, utilizing in application, financial auditing, rejection sheets, negations' with hospitals and the final rejections as well.
- Understand and describe the features and objectives of the business to concerned staff.
- Investigate and explain the internal structure of the organization and the employment arrangements in business organization.
- Research and discuss the influence of the environment on the TPA organization, as investigate the relation between the TPA and the market
- Produce and evaluate effective business documentation and appraise the characteristics of effective group communications.
- Meeting the clients and discussing the policy terms and conditions in purpose of satisfying such with the appropriate professional way.
- Meetings the contracted hospitals and discussing the rejection based on medical views and policy terms and conditions reaching the agreements and understanding for both.
- Directing and managing stuff consist of 5 data entry and two Doctors.