Claims Auditor

**Medical Coding Auditor** 1. Bachelor degree from an accredited college / university 2. Minimum of two years of INPATIENT and IR-DRG coding experience in UAE 3. Minimum of two years demonstrated internal audit experience on inpatient and outpatient claims 4. AAPC/AHIMA certified coder 5. Conduct audits on claims as per applicable criteria/methodology...

Submission of Hospital Claims within the due date as per Insurance Contractual terms and conditions. - Analyzing the rejected Claims and resubmission of the same within due date. - Segregates Finalized IP and OP Bills in HIS as per Insurance Company. - Creates Insurance wise XML Claims Batches and submits the same to DHPO - Analysis Rejected Claims and...

Submission of claims to Insurance Companies, preparation of claims reports monthly within the stipulated time and responsible for obtaining, interpreting, identify the denied claims, analyze and resubmitting the claims to Insurance companies. **RESUBMISSION TEAM** - Analyzing the rejections - Clarifying the Rejection queries to the Insurance Company - Doing...

ATG Head Office & Consolidation - Manage ATG Head Office accounts - Perform monthly consolidation for the Group - Preparation of monthly financial consolidated reporting (Financial Statements format) - HO Actual reporting and monitoring - HO Budget & Forecast - Head Office recharges to BU (HOCA) Insurance Coordinator - Obtain insurance certificates for the...

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...

Job Summary**Responsibilities**: - At least 5 year experience as - The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. - This position is responsible for ensuring medical insurance claims, denials, and appeals...

**Company Profile**: At Unilever you are more than your job title, you are part of the world’s most successful, purpose-led business. Work with brands that are well-loved around the world, that improve the lives of our consumers and the communities around us. We produce world-leading brands including Knorr, Dove, Axe, Hellmann’s and Omo, alongside...

Job Responsibilities: - Develop the cost based accounting practices in the company expenses booking and maintain department wise revenue recognition for profitability analysis at department level. - MIS reports of the relevant areas - Preparation of estimated monthly cash flow requirements of the company - Preparation of payroll & WPS transfer. - When...

**Job Purpose** - To organize all payroll related input and process pay and benefits accruing to employees of allocated units of the Al-Tayer Group, in line with their entitlement and Company policy and procedure ensuring accuracy and timeliness of all pay and benefit related transactions **Job Requirements** Education/Certification and Continued...

**Job Summary** - The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. - This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. - The...

We are looking for a dedicated personality to join our family as Account cum HR Executive. You will be responsible for accounting and human resource administrative functions required for financial management and compliance to all applicable laws You will play an important role, such as: - Preparation full sets of accounts with mínimal supervision. -...

**Company Description** Joining Mirabaud, means entering an entrepreneurial and innovative environment. With the 7th generation of the Mirabaud family working within the bank, the culture is that of a family business. With over 750 employees based in 10 countries worldwide, Mirabaud offers opportunities to develop one’s career across an international...

**Position **- Finance Manager **Location **- Dubai **Company**: - Healthcare and Medical Clinic with a Diversified portfolio in terms of investments in real estate etc. **Scope**: - The finance manager is responsible for financial oversight of our businesses. **Requirements and Responsibilities** - 5+ years of overall combined accounting and finance...

**Responsibilities** - Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Audit 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...

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...

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...

**Job Requisition ID**:164010 Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United A”rab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more...

**Job Requisition ID**:164010 Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United A”rab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more...

M- Posted by - Manisha Doogar- Recruiter Are you ready to join a dynamic team in one of Dubai's bustling construction-related LLCs? Our client is seeking an Accountant to join their finance team based in Dubai Industrial City, situated in the vibrant Dubai South area. **Responsibilities**: - Manage purchase ledger activities for ITME (Microsoft GP) and...

We are looking for a Safety & Compliance Officer to ensure that our operations and business transactions follow all relevant legal and internal rules. You will also review employees’ work and provide advice on compliance. - Develop and implement an effective legal compliance program - Create sound internal controls and monitor adherence to them - Draft and...