Summary

The Clinical Insurance Officer is responsible for managing all insurance-related processes for home healthcare patients including pre-authorizations renewals and claim documentation. The role ensures that all clinical and administrative requirements are met in compliance with payer guidelines Department of Health (DOH) standards and internal policies.

Roles & Responsibilities

• Obtain monitor and renew insurance pre-authorizations for all homecare services (e.g. nursing physiotherapy medical and multidisciplinary care).
• Verify patient insurance eligibility and coverage before initiating or renewing services.
• Coordinate with insurance companies and third-party administrators (TPAs) to secure approvals and address pending or rejected requests.
• Liaise with physicians and clinical staff to complete and submit all required medical reports and treatment plans.
• Ensure all insurance forms including DAMAN Form...