Medical Claims Auditor

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...

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...

Review and Audit Medical Claims to ensure their accuracy. - Resubmission of rejected claims - Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers. - Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such...

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...

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**: -...

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. -...

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...

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...

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...

Submission of claims to Insurance Companies, preparation of claims reports monthly within the stipulated time and responsible for obtaining, interpreting, identify the denied claims, analyze and resubmitting the claims to Insurance companies. **RESUBMISSION TEAM** - Analyzing the rejections - Clarifying the Rejection queries to the Insurance Company - Doing...

We are immediately hiring a Medical Claims Processor for Insurance TPA in Dubai Must have Pharmacy/Nursing background Medical Coding Certificate is mandatory Preference for immediate joiners Salary-4400-4600 AED/month Pay: AED4,400.00 - AED4,600.00 per month Ability to commute/relocate: - Dubai: Reliably commute or planning to relocate before starting...

**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...

**Medical Claims Executive** **Job description**Responsibilities: - Analyze and investigate complicated insurance claims to help prevent fraud. - Perform detailed site inspections. - If necessary, provide well-informed court testimonies. - Review and process new claims reports and court verdicts. - Uphold relationships and communication with insurance...

**Medical Claims Executive** **Job description**Responsibilities: - Analyze and investigate complicated insurance claims to help prevent fraud. - Perform detailed site inspections. - If necessary, provide well-informed court testimonies. - Review and process new claims reports and court verdicts. - Uphold relationships and communication with insurance...