Healthcare Claims Analyst

Job SummaryWe are seeking a skilled Clinical Claims Analyst to join our team at NEXTCARE Claims Management LLC. As a Clinical Claims Analyst, you will be responsible for assessing and processing medical claims in accordance with company standards.

Responsibilities and RequirementsAs a Clinical Claims Analyst, you will be responsible for:Assessing and processing medical claimsManaging routine claims administration workEvaluating claims for eligibilityProcessing preauthorizationsAttending calls and emails from clients and providersRequirements:Bachelor's degree in NursingAt least 2 years of clinical...

We are proud to offer a challenging and rewarding career opportunity as a Claims Management Professional at NEXTCARE Claims Management LLC.About the Role:Job Summary: The successful candidate will provide quality service to clients, managing routine daily claims administration work, evaluating claims, and handling International Preauthorization cases.Key...

About UsNEXTCARE Claims Management LLC is a leading provider of healthcare claims management services. We are committed to delivering high-quality service to our clients while maintaining the highest level of integrity and transparency.Our ideal candidate will be a team player who is able to work effectively with others, demonstrate excellent communication...

Job Opportunity for UAE Nationals Claims Officer – Unlock Your Career with a Global LeaderJoin MedNet, part of the Munich Re Group, and become part of a high-performance, globally connected team that values innovation, development, and cultural diversity. We are looking for talented UAE nationals eager to make a meaningful impact in the insurance and...

The Approvals Officer is responsible for overseeing and managing the approval process for medical claims and pre-authorizations. The primary purpose of this role is to ensure that all claims and service requests are reviewed and processed in accordance with policy guidelines, regulatory requirements, and industry best practices. This role requires a keen eye...

Data ScientistWe are seeking a highly skilled Data Scientist with expertise in healthcare data and analytics to leverage advanced data science techniques, statistical analysis, and machine learning models to solve complex problems in the healthcare domain.Key Responsibilities:Develop predictive models and deploy machine learning solutions to drive business...

Talentmate is seeking a skilled Healthcare Financial Analyst to manage various tasks related to billing and revenue cycle management.Main ResponsibilitiesVerify accuracy of patient demographics and insurance information for billing purposes.Analyze billing data and generate reports for management review.Required QualificationsBachelor's degree in Finance,...

Processing claim forms, adjudicate for provision of deductibles, co-pays, co-insurance maximums, and provider settlements. Entering claims data into the system. Attending to queries from Members / PICs / Providers and resolving problems that result from claim settlement. Performing an audit of randomly selected claims to ensure quality processing and...

Job DescriptionThis FinOps Analyst role is a critical component of our finance team at Amazon. The selected candidate will be responsible for processing invoices and analyzing claims in Workday, ensuring accuracy levels exceed 99%.Process invoices and analyze claims in Workday with precision.Maintain accuracy levels exceeding 99% to guarantee financial...

What We DoThe Claims Quality & Support Officer responsible for activities concerned with review and inspection to apply quality standards for operational claim processes and adjudicationWhat You Do Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans; Audit, assess, and...

We are looking for a Clinical Data Analyst to support the activities of our Revenue Cycle Management Department at American Hospital Dubai. As a Clinical Data Analyst, you will be responsible for abstracting appropriate data for reporting from inpatient, day surgery, and outpatient encounters.You will work closely with the Revenue Cycle Management team to...

About the RoleThe Insurance Manager - Health Care is responsible for overseeing insurance operations in a healthcare facility. They develop and implement insurance policies, handle claims processing, and ensure compliance with industry regulations.Key Responsibilities:Develop and implement insurance policies and procedures to ensure effective risk...

Job OverviewWe are seeking a Healthcare Support Professional to join our team at Eurostar Group. In this role, you will be responsible for providing administrative and clinical support to our healthcare team. This includes scheduling medical appointments, processing medical insurance claims, monitoring diet plans, taking care of physiotherapy treatment,...

Job DescriptionIn this role, you will be responsible for handling inquiries and escalations from brokers, reviewing medical cases, and coordinating with internal teams to provide accurate feedback. You will ensure prompt resolution of authorization requests and rejected cases, and provide clear justifications or required next steps.Responsibilities:Broker...

Job Description3-5 years of Business Systems Analyst experience in Healthcare is a mustStrong understanding of software systems requirements gathering and technical analysisAbility to understand and prepare technical documentation and translate technical jargon to business usabilityExcellent domain knowledge in Electronic Medical Records (EMR) and Revenue...

MEDICLINIC INTERNATIONAL IS A GLOBAL HEALTHCARE LEADER SEEKING AN INSURANCE ADMINISTRATOR TO JOIN OUR TEAM IN THE UAE.We are committed to delivering exceptional patient care and high-quality services, and we require a dedicated professional to help us achieve this goal.The successful candidate will work closely with our team to ensure seamless operation of...

About Sundus: We are committed to delivering high-quality patient care and services in Abu Dhabi, UAE.Job Summary: We are seeking a Clinical Data Analyst who will be responsible for accurate coding and classification of medical data.The ideal candidate should possess strong knowledge of medical terminology, anatomy, and physiology.They must have excellent...

We are seeking a skilled Coding and Healthcare Expert to join our team at Fakeeh University Hospital.About the Job:The successful candidate will be responsible for reviewing claims, assigning codes, and providing technical guidance to physicians and other departmental staff.Key qualifications include a Bachelor's degree or equivalent in a relevant field,...

American Hospital Dubai is seeking a Healthcare Information Manager to oversee the coding processes and ensure accurate and compliant coding practices across the organization.As a Healthcare Information Manager, you will be responsible for developing and implementing policies and procedures related to coding and compliance, as well as providing guidance and...