Clinical Coding and Insurance Expert

5 days ago


Al Ain, Abu Dhabi, United Arab Emirates Medi Clinic Full time
Position Overview:
Join our dynamic team as a Healthcare Administration Professional and take on the challenge of managing insurance claims and pre-authorisation processes. With your extensive knowledge of healthcare insurance rules and regulations, you will be responsible for ensuring the efficient and prompt operation of our insurance pre-authorisation process. Your excellent communication skills and ability to build strong relationships with patients and team members will be essential in delivering exceptional customer service. If you have experience in healthcare administration and are passionate about delivering results, we encourage you to apply.

About the Role:

Closing date: 20/03/2025
Number of positions: 1
Recruiter name: Reem Mansoor
Reference number: 58718
Workplace Type:

Mediclinic Al Ain Hospital | Al Ain | United Arab Emirates

MAIN PURPOSE OF JOB

To provide comprehensive insurance administration services aimed at efficient and prompt insurance pre-authorisation.

KEY RESPONSIBILITY AREAS
  1. To process approvals and submission of information accurately to ensure eligibility and approvals are confirmed.
  2. Prepare relevant cost estimates based on regulator rules, including DRG calculations.
  3. Daily management of pending cases and follow up on outstanding information requirements.
  4. Ensure prompt implementation and compliance with relevant insurance policies.
  5. Prepare and distribute relevant reports.
  6. Provide accurate and prompt insurance information and feedback to patients and team members.
REQUIRED EDUCATION

A relevant Diploma or Bachelor's degree from an accredited institution.

Coding certificate (CPC).

REQUIRED EXPERIENCE

At least 2 years' experience in a healthcare setting with relevant medical insurance exposure.

REQUIRED JOB SKILLS AND KNOWLEDGE
  • Facilitation skills.
  • Client service and related management principles.
  • Clinical Coding.
  • Medical terminology.
  • Verbal and written communication skills in English.
  • Healthcare insurance rules.
  • Insurance Claims.

All applicants will be considered, with the understanding that preference will be given to the designated groups in accordance with the United Arab Emirates Emiratization Program. If you wish to grow with us, apply now and become a part of the Mediclinic Middle East Family.



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