Process medical insurance claims

Contact the patient`s health insurance company and submit the appropriate forms with information on the patient and treatment.

process a health insurance claim
submit claim to patient’s health insurance
process health insurance claims
process medical insurance claim

skill/competence

cross-sector

Process medical insurance claims is an essential skill of the following occupations:

Doctors’ surgery assistant: Doctors’ surgery assistants support doctors of medicine in medical measures, in performing simple support activities during medical procedures, standardised diagnostic programmes and standardised point-of-care tests, ensuring surgery hygiene, cleaning, disinfecting, sterilising and maintaining medical devices and performing the organisational and administrative tasks required for operating a doctor`s surgery under supervision, following the orders of the doctor of medicine.
Audiology equipment specialised seller: Audiology equipment specialised seller sell goods and equipment in specialised shops.
Eyewear and optical equipment specialised seller: Eyewear and optical equipment specialised sellers sell glasses in specialised shops.
Pharmacy technician: Pharmacy technicians, under the supervision of a pharmacist, check incoming goods, control stock, handle and store pharmaceuticals properly. Where permitted by national rules, they dispense medication and provide advice on their appropriate use.
Pharmacist: Pharmacists prepare, dispense, and provide prescriptions for, over the counter medication. They offer clinical information on medicines, report suspected adverse reactions, and provide personalised support to patients. Pharmacists formulate and test medications in laboratories, and store, preserve, and distribute them.
Pharmacy assistant: Pharmacy assistants perform general duties, such as stock management, serving at the cash desk, or performing administrative duties. They deal with the inventory within the pharmacy under the supervision of a pharmacist.

Process medical insurance claims is optional for these occupations. This means knowing this skill may be an asset for career advancement if you are in one of these occupations.

Audiology equipment shop manager:  Audiology equipment shop managers assume responsibility for activities and staff in specialised shops.
Medical administrative assistant: Medical administrative assistants work very closely with health professionals. They provide office support such as correspondence, fixing appointments and answering queries of patients.
Medical goods shop manager: Medical goods shop managers are responsible for activities and staff in specialised shops. ​They manage employees, monitor the sales of the store, manage budgets and order supplies when a product is out of supply and perform administrative duties if required.
Acupuncturist: Acupuncturists make use of thin needles and insert them into acupuncture points in the body in order to restore the imbalances of the human body and overall good health. Acupuncturists focus on energy meridians to treat various conditions.
Front line medical receptionist: Front line medical receptionists greet clients and patients as they arrive at the medical facility and check them in, collect patient notes and make appointments work under the supervision and direction of healthcare institution manager.
Chiropractor: Chiropractors are responsible for the diagnosis, treatment and prevention of disorders related to the neuromusculoskeletal system and the effects of these disorders on general health. They are independent primary health care professionals.
Podiatry assistant: Podiatry assistants help the podiatrist by carrying out supportive tasks such as assisting in diagnosing and treating the disorders, diseases and deformities of the feet, advising people on foot care techniques and the importance of foot care for promoting better mobility and general well-being. They also perform small tasks such as cutting toe nails, applying plasters and general clerical duties.
Specialised seller: Specialised sellers sell goods in specialised shops.
Hospital pharmacist: Hospital pharmacists prepare, dispense and provide medication to patients in hospitals. They collaborate with healthcare personnel such as doctors and nurses to treat patients and also offer advice and information on medications.
Homeopath: Homeopaths treat clients based on the selection and prescription of homeopathic remedies using the homeopathy principle of “like cures like.”
 
Massage therapist: Massage therapists provide therapeutic massage treatments to improve the well-being of their clients. They perform a variety of massage types such as shiatsu and swedish massage, according to their client’s needs and preferences.
Complementary therapist: Complementary therapists use a range of complementary and alternative therapies to work simultaneously with the clients` body, mind, and spirit in a holistic approach. They offer practices and services for holistic wellbeing, health maintenance, health education, health promotion and prevention of illness, along with the sustainable treatment of certain illnesses, especially chronic illnesses. Their practices include but are not limited to acupuncture, aromatherapy, banotherapy, homeopathy, and herbal medicine.
Podiatrist: Podiatrists are foot specialists who study foot physiology and pathology from a structural and functional standpoint. They assess, diagnose, and treat physical, sporting injuries, rehabilitation, medical and surgical problems of the foot and lower limb in their clinical practice. Podiatrists are active outside the clinical environment in research, medico-legal, and forensic activities. Podiatrists act within the scope of their podiatry training, experience, and regulating authority of their member country.
Eyewear and optical equipment shop manager: Eyewear and optical equipment shop managers assume responsibility for activities and staff in specialised shops.

References

1. Process medical insurance claims – ESCO