Medical Auditor

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

Experienced in Medical Claims Auditor in the insurance or TPA. - Coordinate with the providers or payers in case of mismatch between the provided statement of account and actual invoice submission. External Audit: Auditing the providers (Medical Documentation and Billing) - Updating the external audit report to the management - Auditing the In-patient,...

MBBS Doctor, experience in medical insurance, medical auditor and audit certification is a plus. **Job Types**: Full-time, Permanent Pay: AED10,000.00 - AED12,000.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required) **Education**: - Bachelor's (preferred) **Experience**: -...

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...

Dr.Sai Ganesh Medical Centre is looking for a dentist with minimum 7 years of working experience with or withour DHA eligibility. Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required) License/Certification: - Certified Professional Medical Auditing (preferred)

**Job Posting for QA Manager Position in a Medical Device Manufacturing Company** **Job Location: Dubai.** **Job Title: Quality Assurance Manager** **Job Type: Factory (Office-Based)** **Job Competency Requirements**: - **Education**: Master’s degree / Bachelor’s degree in Science, Pharmacy, Biomedical Engineering, or a related field. -...

**Company Description** SGS is a Swiss multinational company headquartered in Geneva, which provides inspection, verification, testing and certification services. It has more than 96,000 employees and operates over 2,600 offices and laboratories worldwide. Plan and conduct professional management system audits and training in accordance with SGS procedures...

Job Information Job Opening ID - ZR_1664_JOB Industry - Legal & Compliance City - Dubai Country - United Arab Emirates As a Compliance Auditor at Deriv, you’ll safeguard the company's integrity in a dynamically evolving fintech landscape. Your expertise in conducting thorough regulatory audits will be key to our ethical standing. Each issue you raise...

We are Medical Supplies Company in dubai currently seeking an Accountant to join with us. UAE - Dubai. Job responsibilities: - Reconcile accounts payable as well as receivable. - Preparing monthly and annual financial reporting for management. - Calculate taxes and prepare tax returns. - Liaising with auditors. - Processing employee expenses. - Manage...

About Fakeeh University Hospital Fakeeh University Hospital delivers the best possible outcomes for its patients through smart technology and academic strengths. Built on an integrated healthcare model, the hospital brings you the legacy of over four decades of compassionate care - drawn from the renowned Fakeeh Care group based in Saudi Arabia. Fakeeh...

Company Description The Payroll Auditor - Middle East will be a local representative of the Payroll Department primarily supporting Hollister Fashion, LCC. Stores in the UAE. Additional responsibilities for other countries may also be available in this role. In this role, the Payroll Auditor supports payroll and compliance processes and procedures and will...

General Accountant will be overseeing all accounting operations by controlling, verifying and managing financial transactions. Responsible for preparing month-end closing procedures, maintaining the general ledger, and reconciling bank statements and accounts. General Accountant must also be able to analyze financial forecasts and reports by using...

Developing, implementing, and administering all aspects of the Company’s Compliance Policies. - Assisting in establishing methods to improve company quality of services. - Providing Continuity of internal communication between hygienists, clinicians, and administrative staff in different branches - Review and evaluate medical complaints process and...

Evaluate the Pre-Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy’s schedule of benefits - Respond to Insurance/ TPA queries and...

Good Excel Skills - Recording / Reconciling daily transactions - Reconciliation of Insurance companies. - Prepare reports - Responsible to coordinate with internal & external auditors - Provide monthly and annual payments forecast for funds arrangement - Prepare and process payments at due times for supplier - Verify, allocate, post and reconcile accounts...

Preparing monthly and annual accounts Corporate document maintenance Follow up on Account receivable Processing payments Liaising with auditors Processing employee expenses Processing monthly payroll Data gathering Receiving and storing invoices Preparing contracts Using digital systems to keep records and create payments Preparing and posting...

Ensure that the details of the Pre Authorization Requests are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules. - Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior...

Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval. - Prepares reports of daily activity as requested for management and assists management in month end reporting as requested. - Evaluate the Pre-Approval requests from medical necessity for the requested...

Responsibilities: Review cash forecast; Liaising with external auditors; Budgeting and Forecasting within complex business structure is essential; Tracking of area KPIs as purchase order development, revenue, accounts receivable, margin and profitability; Ensure the balance sheets are a fair reflection of the assets and liabilities of the business Improve...

Responsibilities: Review cash forecast; Liaising with external auditors; Budgeting and Forecasting within complex business structure is essential; Tracking of area KPIs as purchase order development, revenue, accounts receivable, margin and profitability; Ensure the balance sheets are a fair reflection of the assets and liabilities of the business Improve...