Medical Claims Auditor

Experienced in Medical Claims Auditor in the insurance or TPA. - Coordinate with the providers or payers in case of mismatch between the provided statement of account and actual invoice submission. External Audit: Auditing the providers (Medical Documentation and Billing) - Updating the external audit report to the management - Auditing the In-patient,...

**Job Types**: Full-time, Permanent Pay: AED13,000.00 - AED16,000.00 per month Ability to commute/relocate: - Abu Dhabi: Reliably commute or planning to relocate before starting work (required) **Education**: - Bachelor's (preferred) **Experience**: - hospital: 3 years (preferred) - medical claims auditing: 3 years (preferred) - provider relationship:...

Job Role: Responsible for managing medical claims process such as: - Monitoring compliance to insurance company's terms and conditions - Assisting in collecting and processing claims - Provide customer service and support - Handle documentation including preparation of SOAs, analysis of claim attachments and or completion of such. **REQUIREMENTS**: - 3...

UAE EXPERIENCED INSURANCE COORDINATOR 1.1 Coordinating with insurance companies for obtaining information on new policies and their coverage. 1.2 Verification of insurance eligibility, ensuring coverage of claims, guiding staff for correct use age of claim forms. 1.3 Explaining coverage of medical benefits to patients when required. 1.4 Assisting...

UAE (DOH-ABU DHABI EXPERIENCED GYNE,DENTAL,CARDIO INSURANCE CLAIMS) 1.1 Coordinating with insurance companies for obtaining information on new policies and their coverage. 1.2 Verification of insurance eligibility, ensuring coverage of claims, guiding staff for correct use age of claim forms. 1.3 Explaining coverage of medical benefits to patients when...

Pay: AED8,000.00 - AED9,000.00 per month Ability to commute/relocate: - Abu Dhabi: 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...

**UAE experience is a MUST!** - Maintain and update records related to pre-approvals and reconciliation. - Must know how to submit and re-submit insurance claims. - Obtaining approvals for medical procedures. - Work closely with insurance companies. - Communicate and follow up with insurance companies. - Preparation and submission of medical claims. -...

Job summary: Key Responsibilities: - Medical Coding: - Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes - Ensure that all coding meets regulatory and insurance requirements - Preapprovals: - Handle the submission and follow-up of preapproval requests for medical procedures and...

Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements - Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization. - Acts as a liaison between the organization, its insurance provider...

**Medical Insurance**: - Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim. -...

**Responsibilities** - Account for coding and abstracting of patient encounters - Research and analyze data needs for reimbursement - Submission for the claims - Make sure that codes are sequenced according to government and insurance regulations - Ensure all medical records are filed and processed correctly - Analyze medical records and identify...

We are looking for **Medical Insurance Claims Coordinator** with good English communication skills, customer service skills, excellent administrative and multi-tasking abilities with working knowledge in medical billing and insurance claims in the United Arab Emirates. **Qualifications**: - Must have 2+ years of work experience in a similar role in United...

REQUIREMENTS: - 2 to 4 years’ recent experience in Revenue Cycle Management - Eligibility and Authorization, Claim Submission & Resubmission. - Both inpatient and outpatient experience preferred. Expert knowledge of medical conditions, treatments, procedures and standard codes - Degree in any related field preferably life science background. -...

Required Medical Corder for a medical center in Abu Dhabi Shakhbout City. Location: Abu Dhabi 1 year experience in UAE as a medical coder and insurance claims and submission Details: - Reviews and verifies documentation supports diagnoses, procedures and treatment results before submission. - Identifies diagnostic and procedural information. - Audits...

We are looking for UAE experienced medical receptionist. Experience in Abu Dhabi for one year at least. Should have good command of English. Native Arabic speaker is preferred - Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts. - Welcomes patients and visitors in person or on the telephone, and...

MEDICAL CODER REQUIRED FOR AMEDICAL CENTER IN AL DANAH ABUDHABI, MUST HAVE KNOWLEDGE OF ICD 10, CLAIMS REVIEW, CLAIMS SUBMISSION AND RESUBMISSION.ABLE TO CONDUCT AUDIT THOSE EXPERIENCED IN THIS FIELD CAN SEND 1 PAGE CV Pay: AED2,000.00 - AED2,500.00 per month

Responsible for providing high-level claims handling support to Vice President - Legal. This position requires a good understanding of the insurance market structure, claims handling, the ability to collaborate with internal and external stakeholders, as well as excellent organizational and communication skills. The Insurance claims handler will deal with...

Job Responsibilities - Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements - Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization. - Acts as a liaison between the organization,...

Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts. - Welcomes patients and visitors in person or on the telephone, and answering or referring inquiries. - Optimizes patients’ satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone. - Keeps...

MEDICAL CODER REQUIRED FOR AMEDICAL CENTER IN AL DANAH ABUDHABI, MUST HAVE KNOWLEDGE OF ICD 10, CLAIMS REVIEW, CLAIMS SUBMISSION AND RESUBMISSION.ABLE TO CONDUCT AUDIT THOSE EXPERIENCED IN THIS FIELD CAN SEND 1 PAGE CV Pay: AED2,000.00 - AED2,500.00 per month Ability to commute/relocate: - Abu Dhabi: Reliably commute or planning to relocate before...