Medical Claims Officer-tpa Insurance

Pay: AED8,000.00 - AED9,000.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required) **Education**: - Bachelor's (preferred) **Experience**: - Dentistry: 2 years (preferred) - Insurance: 2 years (preferred) - TPA: 2 years (preferred) - claims auditing: 2 years (preferred) - medical...

With claims experience in TPA or medical insurance or health care industry in the UAE. Nurse or Pharmacist Can join immediately **Job Types**: Full-time, Permanent Pay: AED6,000.00 - AED7,000.00 per month **Education**: - Bachelor's (preferred) **Experience**: - nursing: 1 year (preferred) - TPA: 1 year (preferred) - Insurance: 1 year (preferred) -...

Has wide experience in Health Insurance Claims, worked with Network and overall claims in insurance or TPA companies in the UAE. Paramedical / Medical degree holder and with Insurance exposure. Managerial role. leading a team and with medical knowledge and background. Knowledgeable with Porfolio Management. **Job Types**: Full-time, Permanent Pay:...

**RESPONSIBILITIES AND DUTIES** Research 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...

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: AED9,000.00 - AED10,000.00 per month **Experience**: - TPA/Insurance: 1 year...

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 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: AED10,000.00 - AED12,000.00 per month **Experience**: - TPA/Insurance: 3 years...

**Job description** **RESPONSIBILITIES AND DUTIES** Research 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...

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 AED/month Preference for immediate joiners Pay: AED8,000.00 per month **Experience**: - TPA/Insurance: 3 years (required) - IP...

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...

**1.** **JOB PURPOSE** THE 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...

Understand and identify all data sources relevant to the business. Job Purpose: As a **Data Analyst**, you will be responsible for delivering analytics solutions and reporting capabilities that meet the needs of the company. This will span across multiple domains, including Policy management, provider and network management, claims, authorizations, Fraud,...

**1.** **JOB PURPOSE** The 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 pre-approvals and claims processing and adjudication cycle within NHS software...

**1.** **JOB PURPOSE** The 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 pre-approvals and claims processing and adjudication cycle within NHS software...

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...

We are immediately hiring a IP Claims doctor for Almadallah Healthcare Must have 1-3 years of experience in TPA/Insurance Must be MBBS Doctor who has experience in IP approval Good Medical and Insurance Knowledge Flexible to work in shifts Salary-8000-10000 AED/month Pay: AED8,000.00 - AED10,000.00 per month Ability to commute/relocate: - Dubai:...

**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 immediately hiring a OP Claims Officer for Almadallah Healthcare. **Requirements**: - Should be a Nurse/Physiotherapist/Pharmacist. - Good communication skills. - Has good Medical Knowledge. - Holds Medical Coding - CPC Certificate. - Has experience in Insurance Terminology. - 1-2 years of experience in OP pre-authorization. - Has worked previously...

Duties and responsibilities: 1. provider detailing entry in system (i.e. address, contacts, groupings, currency reference, e-claim code mapping and discount structuring if required) 2. allocations of provider id’s (in net) & (out net) providers 3. Provider Specialty updates 4. Provider Business information updates including 5. Regular maintenance on...

**Medical Claims Executive** **Job description**Responsibilities: - Analyze and investigate complicated insurance claims to help prevent fraud. - Perform detailed site inspections. - If necessary, provide well-informed court testimonies. - Review and process new claims reports and court verdicts. - Uphold relationships and communication with insurance...