Medical Claims Officer

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...

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...

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...

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...

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...

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...

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...

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 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...

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...

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...

Medical Claims Officer Jobs In Dubai | Allianz PartnersApply AlsoPhysical Education Teacher Jobs In Dubai | SABIS Network Schools UAEThe Case Management Utilization Review Officer is responsible for in managing the High cost cases while ensuring that departmental goals, timeline of activities, and compliance measures are met.Apply Also Field Engineering...

We are immediately hiring a Medical Claims OfficerMust have 1-3 years of experience in TPA/InsuranceMust be MBBS Doctor who has experience in IP approvalSalary-10000 AED/monthSalary: AED10,000.00 per monthAbility to commute/relocate: Dubai: Reliably commute or planning to relocate before starting work (required)Experience: TPA/Insurance (required) IP...

RESPONSIBILITIES AND DUTIESResearch and follow up on Medical Treatment patterns and conduct utilization reviews for Beneficiaries (Policyholders) & Medical Network providers, Quality control by:§ Being available (On call) 24 hours a day for Claim Centre Officers queries relating to in-patient claims.§ Assess day-care and in-patient cases as per medical...

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...

1. JOB PURPOSETHE JOBHOLDER SERVES PROVIDERS AND INSURANCE COMPANIES BY DETERMINING REQUIREMENTS, ANSWERING INQUIRIES, RESOLVING PROBLEMS, FULFILLING REQUESTS AND MAINTAINING DATABASE. HE / SHE SHOULD PROVIDE ACCURATE AND RELEVANT MEDICAL COVERAGE DETAILS, MAINTAIN REIMBUSEMENT CLAIMS PROCESSING AND ADJUDICATION CYCLE WITHIN NHS SOFTWARE SYSTEMS AS PER THE...

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...