Medical Claims Officer-ip

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...

**Educational Background**: - M.B.B.S / BDS or equivalent **Minimum Experience**: - 2 Years in Clinical - Or TPA/ Insurance **Skills Required**: - Good English speaking skills - Ownership - Assertiveness - Punctuality - Team Player - Customer Services and Communication - Technical Skills: Sound knowledge of Medicine - Medical Coding & DRG is an...

We are immediately hiring a Medical Claims Officer Must have 1-3 years of experience in TPA/Insurance Must be MBBS Doctor who has experience in IP approval Salary-10000 AED/month Pay: AED8,000.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting work (required)

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 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:...

**Summary** The Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **Main Tasks** - Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions. - Checks particular treatment plan is necessary for the...

**Summary** The Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **Main Tasks** - Evaluates medical claims from the technical and medical perspectives as per policy terms and conditions. - Checks particular treatment plan is necessary for the...

Examine claims records and forms to determine whether the patient has medical insurance. - Review provisions of certificate or policy to determine the patient’s included medical coverage losses. - Negotiate claim settlements and make recommendations for legal action when settlements are deemed non-negotiable. - Complete logs, reports, forms and records to...

**Summary** The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team KPIs. **Main Tasks** - Assesses approval of medical approvals as well as policy...

**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...

**Summary**: Medical Claims Officer - Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met. **Main Tasks**: - Performing complete file review of high cost claims with regards to the multidisciplinary notes, TPR charts,...

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...

**SUMMARY** The Senior Medical Claims - Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. **MAIN TASKS** Manages routine daily claims administration work. Coordinates work flow & meet deadlines. Evaluates claims with regards to eligibility. Takes...

**Summary** The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team KPIs. **Main Tasks** - Assesses approval of medical approvals as well as policy...

**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...

**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...

The Medical Claims - Team Lead will provide quality service to clients by promptly and effectively assessing and processing claims and approval according to operations set standards. Team Leader will evaluate complicated pre-authorization claims, medical evaluations, direct claims coverage, errors, and claims turn-around time and process queries to achieve...

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...

**JOB DETAILS** The role of Claims Officer involves processing medical claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours. The Claims Department is a very fast paced and challenging environment, with many different languages used and a mixture of cultures. **KEY...