Insurance Coordinator

7 days ago


Abu Dhabi, United Arab Emirates Medica international Medical Center Full time

The insurance clerk is responsible for assisting patients with the processing of dental

insurance claims and management of relationships with insurance carriers. Contacts

insurance companies and patients regarding coverage determinations and outstanding

balances. Researches and resolves insurance billing issues. Sets up any financial

arrangements and collects payments from patients and insurance companies. Manages

outstanding insurance claims. Works with Practice Manager to ensure dental team complies

with established collection procedures. Ensures integrity of daily deposits.

Review, interpret, abstract clinical information from medical records for the

purposes of reimbursement, research and compliance utilizing established

coding principles and protocols.

Expert in medical record review to abstract information required to support

accurate outpatient and dental coding

Expert in assigning accurate service codes for diagnosis and procedures

performed in dental setting.

Responsible for claims submission, rejection, re-submission and all sorts of

insurance documentations

Adhere to DOH Claims and Adjudication rules and coding guidelines.

Obtain approval for medical/dental procedures

Inform patients of dental office procedures and policy.

Enter all relevant patient information into data system

Maintain and manage patient records in compliance with privacy and security

regulations.

Complete and file insurance forms and dental billing records.

Translate dental services into proper billable codes.

Communicate with dental supply vendors.

Handle test results including ×-rays and dispatch lab work appropriately

Office duties including document filing, scanning, and creation

Organize referrals to other medical specialists

Communicate with insurance companies regarding eligibility, payments,

approvals. reconciliation and other requirements

Explain the coverage of medical benefits to patients when required

Act as a resource for billing, pre-authorization, reimbursement issues and

outpatient/dental

Ensure high level of patient data confidentiality

Check codes for each claim to avoid any errors to minimize rejections

Follow policies and procedures, completes administrative tasks accurately

and on time.

Ability to commute/relocate:

- Abu Dhabi: Reliably commute or planning to relocate before starting work (required)


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