Policy Administrator

Policy Administrator is accountable for reviewing and maintain the TOB by checking the eligibility and exclusions program prior clients' approvals. This position requires a thorough understanding of medical treatments and admission process. The individual is responsible for ensuring that clinical and administrative intake services are provided for patients. In addition to that, he is responsible for creating the products of the policies on the system.

What you do

• Review of table of benefits inclusions, exclusions, limits, and sub-limits in order to ensure applicability and adaptability of policy terms and conditions withNEXtCARE system and process or to do the needed modification in the internal process. ​