Medical Claims Auditor

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah HealthcareMedical/Paramedical background with good medical coding & data analysis skillsConduct data driven onsite audits to healthcare providersChecking & evaluating accurately the medical records and related documents of the medical claims to identify any...

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah Healthcare Medical/Paramedical background with good medical coding & data analysis skills Conduct data driven onsite audits to healthcare providers Checking & evaluating accurately the medical records and related documents of the medical claims to identify any...

We are immediately hiring a Medical Claims Auditor for our TPA insurance company-Almadallah HealthcareMedical/Paramedical background with good medical coding & data analysis skillsConduct data driven onsite audits to healthcare providersChecking & evaluating accurately the medical records and related documents of the medical claims to identify any...

Participates in complex audits, third party audits, ad-hoc projects and assignments as defined by the Quality Auditor 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 trends and agrees...

Dr.Sai Ganesh Medical Centre group is currently seeking a skilled and experienced Dental Insurance Auditor to join our team. As a Dental Insurance Auditor, you will be responsible for reviewing and auditing dental insurance claims to ensure compliance with insurance policies. Your primary goal will be to ensure accuracy in claims processing and to identify...

Dr.Sai Ganesh Medical Centre group is currently seeking a skilled and experienced Dental Insurance Auditor to join our team. As a Dental Insurance Auditor, you will be responsible for reviewing and auditing dental insurance claims to ensure compliance with insurance policies. Your primary goal will be to ensure accuracy in claims processing and to identify...

**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...

**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...

Minimum 3+ years experience in a similar role. - Bachelor’s Degree in any stream - Specialist in the area of claim resubmissions & reconciliations. - Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate - Fluency in English (speak, read and write). Arabic speaking skills will be an added advantage. - Computer Literacy skills are required. -...

**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...

1. Evaluating medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the cases. 5. To liaise with internal stakeholders...

Insurance / TPA experience is an advantage. 1. Evaluate medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the...

Insurance / TPA experience is an advantage. 1. Evaluate medical claims associated with bodily injuries due to a motor accident. 2. Medically audit in-patient claim requests and ensure that procedures are within industry standards. 3. Experience with working on Mednext system. 4. Liaise with network providers and follow up on the progression of the...

Your Role: Medical Claims Executive - Evaluate claims (Network & Direct), provide authorizations for insured members (in-patient & outpatient) and handle calls relating to medical cases efficiently. - Managing all the members approval/claims and following up with insurance companies/TPAs to get approval within the TAT. - Assisting our clients for...

We are in search of committed and qualified candidates for Medical Claims Doctors to join the Medical Claims Department at our client's Healthcare Establishment in Dubai, United Arab Emirates (UAE).The applicants are expected to meet the following requirements -MBBS or Professional License (Passed Board/Bar/Professional License Exam) in Medicine or...

We are in search of committed and qualified candidates for Medical Claims Doctors to join the Medical Claims Department at our client's Healthcare Establishment in Dubai, United Arab Emirates (UAE).The applicants are expected to meet the following requirements -MBBS or Professional License (Passed Board/Bar/Professional License Exam) in Medicine or...

We are in search of committed and qualified candidates for Medical Claims Doctors to join the Medical Claims Department at our client's Healthcare Establishment in Dubai, United Arab Emirates (UAE).The applicants are expected to meet the following requirements -MBBS or Professional License (Passed Board/Bar/Professional License Exam) in Medicine or...

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...

Monthly Salary: AED3,500 - AED5,000 - Working days : hours: 9hrs/5days a week - Contract Period :Full Time - Can join Immediately - Experience required: 1-2 years of experience in Medical Claims Evaluation preferably from insurance broker - Medical Degree (MBBS or equivalent) from a school recognized by the WHO. - Job Location: Dubai **Job Role**: -...