Medical Auditor

**_Job Description_**: - _ - Implementation of processes and team training;_ - _ - Negotiation of hospital package prices with companies providing health plans and insurance;_ - _ - Negotiation of disputes/disallowances with health plan management companies (TPA) and/or insurance companies;_ - _ - Mediation/negotiation in case of high-cost medicines,...

**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...

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...

**Job Title: Internal Auditor** **JOB DESCRIPTION**: **Position Overview**: **Responsibilities**: Ø Conduct internal audits of company operations to assess the effectiveness of internal controls, risk management processes, and compliance with policies and regulations. Ø Perform audit procedures to identify areas of potential improvement or risk, and make...

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 - Evaluate the Pre-Approval requests from medical necessity for the requested...

For **10 years **we have been successfully implementing our architectural projects on the world stage. We work with projects that do not just change the city outline. Our projects are changing the citizens' lifestyles. They set a new rhythm and create a new level of comfort in interaction with the contemporary city. You have the opportunity to become an...

**Job Posting for QA Manager Position in a Medical Device Manufacturing Company** **Job Location: Dubai.** **Job Title: Quality Assurance Manager** **Job Type: Factory (Office-Based)** **Job Competency Requirements**: - **Education**: Master’s degree / Bachelor’s degree in Science, Pharmacy, Biomedical Engineering, or a related field. -...

FUNCTION: TECHNICAL RESPONSIBILITIES: - Plans improvements in the operation and management of auditing procedures to improve service and profits in coordination with the Accounting Manager. - Supervises the procedures and reports of Guest Service Agents and Night Auditors. - Audits daily revenue figures and supporting folios and vouchers submitted by Night...

**Company Description** SGS is a Swiss multinational company headquartered in Geneva, which provides inspection, verification, testing and certification services. It has more than 96,000 employees and operates over 2,600 offices and laboratories worldwide. Plan and conduct professional management system audits and training in accordance with SGS procedures...

Job Information Job Opening ID - ZR_1664_JOB Industry - Legal & Compliance City - Dubai Country - United Arab Emirates As a Compliance Auditor at Deriv, you’ll safeguard the company's integrity in a dynamically evolving fintech landscape. Your expertise in conducting thorough regulatory audits will be key to our ethical standing. Each issue you raise...

For **10 years **we have been successfully implementing our architectural projects on the world stage. We work with projects that do not just change the city outline. Our projects are changing the citizens' lifestyles. They set a new rhythm and create a new level of comfort in interaction with the contemporary city. You have the opportunity to become an...

Plans improvements in the operation and management of auditing procedures to improve service and profits in coordination with the Accounting Manager. - Supervises the procedures and reports of Guest Service Agents and Night Auditors. - Audits daily revenue figures and supporting folios and vouchers submitted by Night Auditor. - Audits the charges to city...

Job Information Job Opening ID - ZR_1664_JOB Industry - Legal & Compliance City - Dubai Country - United Arab Emirates As an Internal Auditor (Regulatory) at Deriv, you’ll safeguard the company's integrity in a dynamically evolving fintech landscape. Your expertise in conducting thorough regulatory audits will be key to our ethical standing. Each...

Company Description The Payroll Auditor - Middle East will be a local representative of the Payroll Department primarily supporting Hollister Fashion, LCC. Stores in the UAE. Additional responsibilities for other countries may also be available in this role. In this role, the Payroll Auditor supports payroll and compliance processes and procedures and will...

About Fakeeh University Hospital Fakeeh University Hospital delivers the best possible outcomes for its patients through smart technology and academic strengths. Built on an integrated healthcare model, the hospital brings you the legacy of over four decades of compassionate care - drawn from the renowned Fakeeh Care group based in Saudi Arabia. Fakeeh...

Job Information Job Opening ID - ZR_1741_JOB Industry - Internal Audit City - Dubai Country - United Arab Emirates **Your challenges** - Develop and execute IT audit plans, scopes and programmes in accordance with business risks and regulatory requirements. - Conduct evaluations on the company’s IT infrastructure and processes to reduce cyber risks...

Job Summary**Responsibilities**: - At least 5 year experience as - The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. - This position is responsible for ensuring medical insurance claims, denials, and appeals...

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 - Evaluate the Pre-Approval requests from medical necessity for the requested...

Ensure that the details of the Pre Authorization Requests are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules. - Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior...

once a week, visit at the clinic, A clinic accountant is a financial professional responsible for managing and overseeing the financial aspects of a medical clinic. Their duties typically include maintaining accurate financial records, processing invoices, managing payroll, and preparing financial statements. Clinic accountants work closely with healthcare...