Medical Insuranace Manager

1 week ago


Abu Dhabi, United Arab Emirates Top Care Medical Center Full time

Top Care Medical Center looking for a **Medical Insurance Manager-Male Only** with a minimum of 5 years related experience in Healtcare field.

Attractive salary

**Responsibilities**:

- Manage the Daily operations, pre-approvals, claims Medical auditing before submitting them to Insurance companies.
- Evaluation of medical necessity and consistency of diagnosis.
- Claims adjudication as per H.A.A.D guidelines.
- Monitor and analysis rejections rates and denial reasons, perform claims review according to, medical necessity and prepare the rejected claims for re submission process.
- Manage Medical coding & proper documentation-Medical Billing cycle and its direct influence on the revenue cycle.
- Supervises and monitors skills to fulfil the tasks requirements according to operational performance indicators KPI for current staff and New Joiners.
- SPC Contracting and re-contracting process and to negotiate with Insurace Companies.
- Audit management by the Insurance Company, Government Authorities including TASNEEF/ JAWDAH

**Job Types**: Full-time, Permanent

**Experience**:

- Medical Insurance: 5 years (preferred)



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