Insurance - Approvals

Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines. - Coordinating with any requirements from Insurance companies and following insurance protocols - Checking all the coverage and membership eligibility - Informing front desk staff for any new protocols received from insurance companies - Ensuring...

Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines. - Coordinating with any requirements from Insurance companies and following insurance protocols - Processes & tracks insurance claims, informs employees of the status of their claims, and prepares insurance statements. - Checking all the coverage and...

Responsible for ensuring an efficient running of the reception area ensuring that all reception/administration/insurance management duties are performed to the requirements of the job description and all patient's needs are attended to promptly and courteously. **Requirements**: - Understand and comply with network agreements between Insurance Companies. -...

**Job Summary** - Insurance coordinator with good knowledge of approvals, claims, submissions and resubmissions - have to do new insurance empanelment - Medical center and pharmacy division - Must be on sponsored visa. **Required Education, Skills and Qualifications** - advantage if have good coding knowledge **Job Types**: Full-time,...

**Job Overview**: **Key Responsibilities**: - Analyze financial statements, medical reports, and other relevant documents to assess risks. - Calculate and approve appropriate premiums based on risk assessments. - Work closely with the sales team to provide recommendations and clarify underwriting decisions. - Ensure compliance with company policies and...

**Requirements & Skills**: - **Insurance Knowledge**: - Strong understanding of network agreements with various insurance companies. - Ability to verify medical requests based on patient conditions and determine pre-approval requirements. - **Claims Processing**: - Experience in processing claims within a medical setting. - Proficiency in medical coding...

Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval. - Prepares reports of daily activity as requested for management and assists management in month end reporting as requested. **DUTIES AND RESPONSIBILITIES**: - Evaluate the Pre Approval requests from...

Job Description: We are seeking a dedicated and experienced Insurance Coordinator to join our Medical Center. The Insurance Coordinator will be responsible for managing insurance claims, coordinating with insurance providers, and ensuring smooth billing processes for our patients in compliance with regulatory requirements. **Responsibilities**: 1. Verify...

Bachelor Degree in Nursing or any related medical field; - at least 2 years experience in outpatient and/or inpatient clinic in UAE - wide knowledge and understanding in Medical Center setting, ICD-10 and CPT - Has experience in EMR (Electronic Medical Records) and Manual - Has experience in processing insurance for pre-approval, claims submission and...

**Prior experience in the UAE healthcare sector, including Approvals, submissions, and resubmissions of insurance claims, and remittance verification is mandatory.** **Key Responsibilities**:Insurance Coordination**: - Manage insurance approvals, submissions, and resubmissions. - Verify insurance coverage and eligibility of patients. - Ensure proper coding...

**Duties and Responsibilities**: - Coding Medical records supplies correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided supplies correct CPT code on all procedures and services performed processing claims daily while maintaining 95% accuracy and achieving productivity goals - Sending Prior Authorization request to insurance company Daman...

We need Insurance Coordinator cum Coder -Arabic Speaker for Al Ain should know approvals, insurance submission and re-submission, insurance claim audit/review and should be a certified professional coder Salary is open Preferably immediate joiner or max 1 month notice **Salary**: AED5,000.00 - AED8,000.00 per month Application Question(s): - are you...

Experience Level: Minimum 3 years of experience in hospitals / clinics Job Overview: Key Responsibilities: - Accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and other relevant coding systems. - Review and verify patients' medical records and coding to ensure completeness and compliance with insurance requirements. - Submit...

Urgently hiring Pharmacist for RAK - Required DHA/MOH licensed pharmacist - Minimum experience required 2-3 years - Advanced knowledge in dispensing prescription medicines and OTC - Expiry checking and inventory control of medicines - Creating purchase orders - Taking Insurance approvals - Maintenance of stocks - Preparation of shortage list of drugs **Job...

**Job Overview** The Payroll/Attendance Officer, based at the Head Office, is responsible for the timely processing of payroll, managing attendance and leave records, and ensuring compliance with UAE labor laws. The role encompasses handling end-of-service benefits, full-and-final settlements, and maintaining payroll systems, including PACT and potentially...

**Key Responsibilities**: - **Government Relations & Approvals**: - Handle all company-related transactions with government authorities, including visa processing, labor contracts, trade license renewals, and other necessary approvals. - Obtain, renew, and update various licenses, permits, and certifications as required by the local authorities and ensure...

**Company Description** Why work at Accor? We are much more than a world leader. We welcome you as you are and you can find the job and brand that fits your personality. We support you in your development and learning on a daily basis, we make sure that your work brings meaning to your life. Thus, during your experience with us, you can explore the unlimited...

Responsible for overall management of pharmacy from MOH and organization perspective. Ensuring highest level patient/customer service and administrative work in pharmacy. Work strictly within the scope of Pharmacy. - Responsible for welcoming and greeting patients/customers as they enter the pharmacy. - Dispensing must be performed accurately in an orderly...

General Homecare Physician Primary Responsibility: - Conducting Physical examinations - Diagnosis and treatment of illnesses/ailments - Health Education - Practice medical management and administration - Liaise with other healthcare professionals and hospitals - Ensure the delivery of quality, person-centered care - Manage budgets and the financial...

**Key Responsibilities**: - Prepare and issue purchase orders based on approved requisitions and procurement needs. Follow up with suppliers for order confirmations. - Monitor the status of orders and ensure timely delivery of materials to meet project deadlines. Communicate with suppliers to address delays or issues. - Assist in evaluating supplier...