Insurance Claims Specialist

3 days ago


Dubai, Dubai, United Arab Emirates Accumed Practice Management DMCC Full time

We are looking for a skilled Insurance Claims Specialist to join our team at Accumed Practice Management DMCC. As a Medical Approvals Coordinator, you will be responsible for managing out-patient approvals through direct coordination with insurance companies.

Responsibilities:

  1. Approval Coordination: Manage out-patient approvals via phone calls, online systems, and electronic portals to ensure seamless communication with insurance companies.
  2. Claims Handling: Handle approvals follow-ups, queries, and rework on requested claims by adding relevant ICDs, providing medical justification, and other supporting documents to achieve high approval rates.
  3. Service Verification: Ensure that billed services are under insurance coverage and generated bills are accurate, reducing the risk of claim denials.
  4. Patient Data Management: Maintain up-to-date insurance details, including patient names, member IDs, and insurer/payer IDs, to facilitate efficient claims processing.

Desired Candidate Profile:

  1. A Bachelor's degree in Healthcare, Insurance, or a related field is required for this position.

What We Offer:

  • A dynamic work environment with opportunities for growth and development.
  • A competitive compensation package that reflects your skills and experience.
  • The chance to work with a reputable healthcare provider committed to excellence.


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