Medical Claims officers Outpatient Pre-certification

Assesses approval of medicalapprovals as well as policy use.Checkparticular treatment plan is necessary for thepatient.Inputs verbal and written claimsapprovals regularly.Decide approvals as perpolicy conditions.Assess high-cost claims andprovide decisions on high-cost and complicatedcases.Provide clear feedback on queries fromcall Centre team.Provides...

**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...

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...

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...

**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...

**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...

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...

A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...

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...

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...

A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...

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...

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...

A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. - Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. - In addition, a processor must keep meticulous records of claims and follow up on lapsed cases. - Medical claims processors...

**Medical Liaison Coordinator - Preapprovals and claims** We are currently recruiting top talent for the role of Medical Liaison Coordinator - Preapprovals and claims for our client, a leading Insurance company in Dubai. 1 year contract - renewable MBBS is mandatory UAE Experience is mandatory Job Purpose: Liaising and servicing HealthCare...

Coder – Outpatient Re-submission Officer | Kanad Hospital CareersResponsibilities:Excellent interpersonal skills while interacting with physicians, nurses and other staffs.Be a mentor for the team members and work with team to ensure high level of accuracy.Ensure high level of patient data confidentiality.Expertise in Diagnosis Related...

**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. -...

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...

ResponsibilitiesAsa Medical Claims Contract Administrator, your key responsibilitieswill include Managing andprocessing new enrollment applications, ensuring all necessarydocumentation is received, and data is accurately entered into oursystem.Providing top-notch customer service,resolving any issues or concerns raised by our clients and ensuringthey have a...