Dental Insurance Coder/clerk

1 week ago


Abu Dhabi, United Arab Emirates HARMONY MEDICAL GROUP Full time

Our company is currently in need of Dental insurance coder and clerks.

**Qualifications and Experience**
- Must be a college graduate.
- Experience in Dental Field is a MUST
- Holder of medical or dental coding certificate
- Licensed Coder
- Knowledge in ICDs and other coding guidelines and standards
- Knowledgeable in the UAE insurance regulations

**Duties and Responsibilities**
- Handles pre-approval requirements and submissions
- Administer submission of claims and re-submission
- Prepare all the required information to request an approval.
- Review and compare and analyze patient records, charts and requests’ accuracy before requesting for approvals
- Review, analyse, and abstract clinical information from patient medical records and documents for diagnostic and procedure codes assignment for both outpatient and homecare patients.
- Review, analyse, and abstract clinical information from patient medical records and documents for diagnostic and procedure codes assignment for both outpatient and homecare patients.
- Validating the completeness of physician’s request
- Determining the correct codes to be used for the treatment requested and suggest other codes if necessary.
- Gather all the required documents to request for an approval such as x-ray copies, photos, etc.
- Communicate with physicians and assistants to ensure accuracy of their request
- Maintaining patient confidentiality and information security
- Inform the clinical department with regards to the changes or update provided by the insurance companies
- Do all other insurance related tasks such as extension of approval, modification, submission, resubmission, cancellation of requests, etc
- Comply with all legal requirements regarding coding procedures and practices
- Communicate with insurance companies about coding errors and disputes
- Report missing or incomplete documentation
- Prepares price list based on the insurance company’s standard.
- Bill approved completed procedures
- Handles co-pays, balances, and charge posting
- Perform other tasks related to job as per the instruction of the management.

**Job Types**: Contract, Permanent

Ability to commute/relocate:

- Abu Dhabi: Reliably commute or planning to relocate before starting work (preferred)



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