Op Medical Claims Officer

We are immediately hiring a OP Claims Officer for Almadallah Healthcare. **Requirements**: - Should be a Nurse/Physiotherapist/Pharmacist. - Good communication skills. - Has good Medical Knowledge. - Holds Medical Coding - CPC Certificate. - Has experience in Insurance Terminology. - 1-2 years of experience in OP pre-authorization. - Has worked previously...

We are immediately hiring an OP Claims Officer Must have Medical backgorund Must have 2 years of minimum experience in Insurance domain Ready to work in shifts Preference for immediate joiners Salary-5000-6000 AED/month Pay: AED5,000.00 - AED6,000.00 per month **Education**: - Bachelor's (preferred)

**Educational background**: - Nurse, Pharmacist, Lab technician or M.B.B.S Doctor **Minimum requirement for the position**: - At-least 2 years experience in clinical practice or TPA/ insurance background. **Skills Required**: - Proficient in English - Soft skills of Ownership - Assertiveness - Punctuality - Team Player - Customer Services and...

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 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...

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 AED/month Preference for immediate joiners Pay: AED8,000.00 per month **Experience**: - TPA/Insurance: 3 years (required) - IP...

**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...

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...

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...

**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...

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 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...

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)