Medical Insurance Manager
5 days ago
**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 after through verification.
- Receiving queries and approvals of insurance companies and responding for it.
- Coordinating and collecting the appropriate documentation from the provider as per insurance need.
- Follow up with insurance company Daman regarding approvals, queries, rejections, and payments. Contacting Daman whenever necessary according to management needs.
- Educating and interacting with physicians, allied health care professions in coding as per coding guidelines.
- Maintaining proper medical documentation as per HAAD and insurance norms.
- Maintaining accuracy and confidentiality of patient documentations
- Constantly and continuously update the insurance and HAAD information to all employees and doctors
- Constantly supervise documentation errors in home care files and giving feedback to respective department
- Attends seminars and in-services as required to remain current on coding issues
- Continuously evaluates the quality of clinical documentation to identify incomplete or inconsistent documents that will impact billing and payment from insurance company
- Giving clarifications and feedbacks to the management regarding payment.
- Must have relevant experience of 1 to 2 years in a Homecare set-up
- Must be proficient in English communication
- Must have the technical knowledge with DAMAN system and relevant DOH/JAWDA and agency audits.
- Must be in Al Ain
SALARY PACKAGE: Will be discussed upon final interview along with details of other benefits.
Preferable: With Homecare medical coder experience.
**Job Types**: Full-time, Permanent
**Salary**: From AED6,000.00 per month
Ability to commute/relocate:
- Al-Ayn: Reliably commute or planning to relocate before starting work (preferred)
**Experience**:
- homecare: 2 years (preferred)
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