Sr. Specialist - Pre-Arrangement & Admission (Health Insurance)

Nice to know

Being responsible for Pre-authorization process here are 2 parts which are pre-arrangement part (pre-approve for procedure/surgery) and admission part (initial approval for admission). We service both providers and members each day as shift work from 8 am – 5 pm every day. We pay more attention both to medical necessity and cost containment to control the treatment cost in a procedure which the providers have the package price. These processes make the customers have good benefit management under customary price and our business get more cost saving.

Your Day at Allianz Ayudhya

1) Reviews of claims and medical reports (medical indication assessment)

• Verify the eligibility of the claim by using and applying medical knowledge to pre-arrangement cases.
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