Medical Claims Contract Administrator

ResponsibilitiesAs a Medical Claims Contract Administrator, your key responsibilities will include Managing and processing new enrollment applications, ensuring all necessary documentation is received, and data is accurately entered into our system.Providing top-notch customer service, resolving any issues or concerns raised by our clients and ensuring they...

ResponsibilitiesAs a Medical Claims Contract Administrator, your key responsibilities will includeManaging and processing new enrollment applications, ensuring all necessary documentation is received, and data is accurately entered into our system.Providing top-notch customer service, resolving any issues or concerns raised by our clients and ensuring they...

Contract & Claims Assistant**_Job Description:_** - _Analysis and assessment of risks of complex project contracts as well as independent design of contract administration processes with customers and subcontractors_ - _Coordination and active execution of the risk management of the supervised projects_ - _Evaluation and creation of timely and technically...

**Job Designation **:Medical Claims Supervisor **Job Location** : NGI- Head Office **Responsibilities** - Responsible for the screening of claims to ensure cost containment, medical necessity, and check for fraudulent activity. - Screen all claims (e-claims and paper claims) in a proper and aggressive manner for all hospitals, clinics, and pharmacies for...

We are in search of committed and qualified candidates for Medical Claims Doctors to join the Medical Claims Department at our client's Healthcare Establishment in Dubai, United Arab Emirates (UAE).The applicants are expected to meet the following requirements -MBBS or Professional License (Passed Board/Bar/Professional License Exam) in Medicine or...

We are immediately hiring a Medical Claims Officer for our TPA Almadallah Healthcare Must have 5+ years experience in Medical Insurance/TPA experience as a Medical Claims Officer Qualification-MBBS (mandatory) Salary-8000-9000 AED/month Preference for immediate joiners Pay: AED8,000.00 - AED9,000.00 per month Application Question(s): - Do you have...

**Summary** The Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **Main Tasks** - Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions. - Checks particular treatment plan is necessary for the...

**Summary** The Medical Claims - Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards. **Main Tasks** - Manages routine daily claims administration work. - Coordinates work flow & meet deadlines. - Evaluates claims with regards to eligibility. -...

Immediately hiring Medical Claims Processor Must have 1-3 years experience in TPA/Insurance Medical Coding experience is an advantage Salary-4600 AED/month Pay: AED4,600.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required) Application Question(s): - Do you have Nursing/Pharmacy...

We are immediately hiring Medical Claims Processor for insurance TPA - CPT coding system and agreed tariff. - Communicate any of the diagnostic and treatment data to payers and plan to assist patients in obtaining benefits. - Facilitate analysis of an insured member to improve care, delivery, and efficiency of operations to contain costs. - Accurately post...

We are in search of committed and qualified candidates for Medical Claims Doctors  to join the Medical Claims Department at our client's Healthcare Establishment in Dubai, United Arab Emirates (UAE).The applicants are expected to meet the following requirements -MBBS or Professional License (Passed Board/Bar/Professional License Exam) in Medicine or...

We are currently looking for a Contracts Administrator to join our team. Experience of 4-5 years in the construction industry with exposure to contracts management and claims [upstream and downstream contracts], administering vendor compliance, generate monthly contract dashboard, progress report, assessing cost of variation, contract reconciliation,...

1. Develop and maintain systems and processes for contract administration and reporting and ensure issues reported on are actioned appropriately. 2. Work collaboratively with key managers responsible for project deliverables and procurement to ensure effective and efficient contract communication and management. 3. In conjunction with relevant managers,...

Contract Management: Administerand manage all contractual agreements related to the infrastructureconstruction supervision project, ensuring compliance with contractterms and conditions. Change Control: Evaluate andprocess change orders and variations, maintaining accurate recordsand ensuring alignment with project objectives and clientrequirements....

Manages routine daily claims administration work.Coordinates work flow & meet deadlines.Evaluates claims with regards to eligibility.Takes decisions on high cost and complicated cases based on standard operating procedures.Handles International Preauthorization cases as required.Attends calls and e-mails from insurance companies, clients, and...

Manages routine daily claims administration work.Coordinates work flow & meet deadlines.Evaluates claims with regards to eligibility.International Preauthorization.Attends calls and e-mails from insurance companies, clients, and providers.Makes suggestions to improve service.Increases efficiency, minimizes errors, and administration time.Coordinates with...

**Summary** The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team KPIs. **Main Tasks** - Assesses approval of medical approvals as well as policy...

Contract Management: Administer and manage all contractual agreements related to the infrastructure construction supervision project, ensuring compliance with contract terms and conditions.Change Control: Evaluate and process change orders and variations, maintaining accurate records and ensuring alignment with project objectives and client...

Minimum 3+ years experience in a similar role. - Must have experience of managing claim submissions & resubmissions. - Bachelor’s Degree in any stream - Specialist in the area of claim resubmissions & reconciliations. - Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate - Fluency in English (speak, read and write). Arabic speaking skills...

Manages routine daily claims administration work.Evaluates claims with regards to eligibility.International Preauthorization.Attends calls and e-mails from insurance companies, clients, and providers.Makes suggestions to improve service.Increases efficiency, minimizes errors, and administration time.Coordinates with different departments within the...