Claim Supervisor

**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...

In coordination with the Revenue Cycle Manager implements standard operating procedures and guidelines for the Insurance Preapprovals. - Obtaining on time authorizations for the facility as required by insurance companies and TPA’s dependent upon the plan coverage for all patients. - Handling rejected preauthorization between the facility and the Insurance...

**SUMMARY** The Claims Management - Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards for direct type of claims**.** **MAIN TASKS** Evaluates claims with regards to eligibility and medical necessity if required. Ensures that insurance claims...

The Claims Management - Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards for direct type of claims. **What you do** - Evaluates claims with regards to eligibility and medical necessity if required. - Ensures that insurance claims information is...

The Claims Management - Assessor will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards for direct type of claims. **What you do** - Evaluates claims with regards to eligibility and medical necessity if required. - Ensures that insurance claims information is...

**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...

We are currently working with an international tanker owner who are looking to hire a Demurrage Supervisor to join their team in Dubai. Job description: - Monitoring vessels in coordination with ship operators for demurrage for charterers account - Calculate demurrage claims in accordance with charter parties, fixtures recap and charterers terms - Drive...

**Position: Insurance Supervisor** **Key Responsibilities**: - Supervise and coordinate the daily activities of the insurance department. - Ensure accurate and timely submission of insurance claims and follow up on pending claims. - Oversee the verification of patient insurance coverage and benefits. - Manage and resolve insurance-related issues and...

We are looking for a Billing Supervisor to join our RCM Team. **Job Summary**: Ensure timely completion of authorizations, claims and other contractual agreements for direct billing agreed with the hospital through collaboration with various hospital departments and insurance companies. **Qualification**: - Bachelor degree with strong clinical experience....

**Job Description**: The position of Security Supervisor is responsible to protect and safeguard all hotel guests, employees, their belongings and all hotel assets under the guidance of the Cluster Security Manager. Assists in coordinating the Security operations of the hotel in line with TFC standards to ensure maximum efficiency and guest satisfaction and...

**URGENTLY REQUIRED: SIRA Certified Security Supervisor** **Duties & Responsibilities** - The required Security Supervisor is responsible to ensure a safe & secure environment for all the valued clientele of the company. - He will oversee and manage shifts effectively to ensure a smooth and effective overall operation task by properly guiding the team and...

**HSE SUPERVISOR** **JOB RESPONSIBILITIES** - Support the development of OHS policies and programs - Advise and instruct on various safety-related topics (noise levels, use of machinery etc.) - Conduct risk assessment and enforce preventative measures - Review existing policies and measures and update according to legislation - Initiate and organize OHS...

Posted On - 04 Dec 2024 - End Date - 19 Dec 2024 - Required Experience - 5 - 10 Years Basic SectionNo. Of Openings 1 Band Supervisor Grade GRADE-12 Designation TECHNICAL SUPERVISOR Campus/Non Campus Non Campus Employment Type Permanent Employee Category AXIOM STAFF - OrganisationalGroup Company (Code) Axiom Telecom LLC Legal Entity...

**SUBMISSION TEAM** - Follow the mandatory SOP, checklist and relevant payer and coding guidelines. - Checking demographic details of patient and make sure the front desk should select the proper regulatory policy (DHPO or RIAYATI) - Proper documentations are entered in the Chart/ EMR/ Claim form by the doctors. - Supporting details/ justification available...

**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...

Job Purpose: Job Purpose Diligent review and analysis of aircraft systems, powerplant, components, cabin maintenance along with Engineering Safety reports to identify maintenance spend that are qualified for claim under the scope of contractual warranty remedies and guarantees, commitment letters, modifications, or insurance. Administration of the Claims...

**Primary Responsibilities**: - Must have appropriate DRG knowledge and experience - The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD-10-CM and/or CPT-4/USCLS codes to be reported, in conjunction with the applicable version of Official Guidelines. - Analyzing and...

**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...

**Company - Children's Center** **Role - Front Office Operations and Admin** **Duties** - Manage and oversee the front office while maintaining operational procedures and delivering a consistent level of high standards of customer service within the department - Respond in a courteous, professional, and rapid manner in order to resolve all guest and staff...

**About The Role** - Co-ordinate with Shipping & IT Departments. - Prioritize workload & process information to meet deadlines whilst maintaining accurate files - Co-ordinate with Merchandisers regarding new shipments; follow up on stock damage during transit, storage/excess claims to be prepared, ensure stock is properly binned / tagged. Ensure adherence to...