Medical Claims Auditor

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah HealthcareMedical/Paramedical background with good medical coding & data analysis skillsConduct data driven onsite audits to healthcare providersChecking & evaluating accurately the medical records and related documents of the medical claims to identify any...

Dr.Sai Ganesh Medical Centre group is currently seeking a skilled and experienced Dental Insurance Auditor to join our team. As a Dental Insurance Auditor, you will be responsible for reviewing and auditing dental insurance claims to ensure compliance with insurance policies. Your primary goal will be to ensure accuracy in claims processing and to identify...

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 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 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...

Insurance / TPA experience is an advantage.Evaluate medical claims associated with bodily injuries due to a motor accident.Medically audit in-patient claim requests and ensure that procedures are withinindustry standards.Experience with working on Mednext system.Liaise with network providers and follow up on the progression of the cases.To liaise with...

Insurance / TPA experience is an advantage.Evaluate medical claims associated with bodily injuries due to a motor accident.Medically audit in-patient claim requests and ensure that procedures are withinindustry standards.Experience with working on Mednext system.Liaise with network providers and follow up on the progression of the cases.To liaise with...

Medical Claims Senior Claims Officer | Allianz Partners DubaiAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech...

Our company Commercial Insurance Brokerage Services is looking to hire a Medical Claims Officer to join our technical team in Dubai. Reporting to the General Manger the incumbent will be responsible for the entire medical underwriting process through a variety of technical tasks.Responsibilities Evaluates and processes claims in accordance with insurance...

SummaryThe 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 use. Checks...

Summary: Medical Claims Officer - Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.Main Tasks: Performing complete file review of high cost claims with regards to the multidisciplinary notes, TPR charts, physician order's...

Medical Claims Assessor - Inpatient Precert Medical Claims Assessor - Inpatient Precert3+ years medical practical experience (reputable insurance provider, broker or a TPA experience a plus).Knowledge of overall insurance industry practices is a plus.Legally permitted to work in the country of operations.Physically fit to carry out duties.Fluency in MS...

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 will be an...

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...

Press Tab to Move to Skip to Content LinkSelect how often (in days) to receive an alert:Select how often (in days) to receive an alert:Employing Entity:NEXTCARE Claims Management LLCJob Type:Full-TimeRemote Job:100% on-siteEmployment Type:PermanentID:44264SummaryThe Medical Claims – Assessor will provide quality service to clients by promptly and...

Submission of claims to Insurance Companies, preparation of claims reports monthly within the stipulated time and responsible for obtaining, interpreting, identify the denied claims, analyze and resubmitting the claims to Insurance companies.RESUBMISSION TEAM Analyzing the rejections Clarifying the Rejection queries to the Insurance Company Doing...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Employing Entity: NEXTCARE Claims Management LLC Job Type: Full-Time Remote Job: 100% on-site Employment Type: Permanent ID: 44264 SummaryThe Medical Claims – Assessor will provide quality service to clients by...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: Employing Entity: NEXTCARE Claims Management LLC Job Type: Full-Time Employment Type: Permanent ID: 44265 SUMMARYThe Medical Claims Officer will provide quality service to clients, promptly and effectively assesses...

The Senior Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. MAIN TASKS • Manages routine daily claims administration work. • Evaluates claims with regards to eligibility. • Takes decisions on high cost and complicated cases...

Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Auditor Team Manager. Performs root cause analysis on audit findings to understand why the findings occurred. Agrees suitable action plans to remove root causes and prevent findings from recurring. Monitors performance trends and agrees suitable...