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...

Insurance coordinator is responsible for evaluating insurance information to verify claims and submit claims timely to the insurance Companies for their approval and coordinate with the Insurance companies and UMC Physicians for inquiries and updates. He /She must have excellent communication and analytical skills to assess reports, resolve claims...

**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...

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...

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...

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...

**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...

Must be able to handle Pre-Approval process for various insurance companies. - Maintain and track the status of the pre-approval. - Daily monitoring of approvals in the queue and co-ordinate with reception and doctors - Must have experience in documentation verification for all clinicians in EMR - Clearing the queries of claims and replying to rejections. -...

Insurance coordinator cum Dental Coder is responsible for evaluating insurance information to verify claims and submit claims for dental procedures in timely to the insurance Companies for their approval and coordinate with the Insurance companies and UMC Physicians for inquiries and updates. He /She must have excellent communication and analytical skills to...

**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...

Must have CPC holder - Pre-approvals, Evaluation and Management, ICD, CPT coding and DOH Submission experience or Knowledge - UAE Insurance Knowledge - Ensures coding as per HAAD guidelines **Job Types**: Full-time, Permanent

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...

**Primary Responsibilities**: - Preapproval and Precertification for claims requiring approval. - Making Cost estimates according to procedures - Monitoring and follow up on prior authorization for inpatient services - Scanning of cases to identify lack of documentation by physician/ reports prior to submitting to payer - Contacting the payers/TPA for...

Responsibilities Ensure all procedures regarding billing, collection, credit cards, inquiries, and cheque cashing are followed. Inspect all in-house accounts to ensure adherence to the hotels’ credit policy; assist with the collection efforts of these accounts where necessary. Ensure local credit policies are followed. Review all requests for credit...