Medical Claims Auditor

Ensure that the details of the claims are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules - Ensure that the details of the claims are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules. - Handling resubmission of rejected claims. - Review and Audit Medical...

**Job Types**: Full-time, Permanent Pay: AED13,000.00 - AED16,000.00 per month Ability to commute/relocate: - Abu Dhabi: Reliably commute or planning to relocate before starting work (required) **Education**: - Bachelor's (preferred) **Experience**: - hospital: 3 years (preferred) - medical claims auditing: 3 years (preferred) - provider relationship:...

A leading HR solutions provider in the UAE is looking for a Senior Officer E-Claims in Abu Dhabi. The role involves reviewing and processing medical claims while ensuring compliance with insurance policies. Candidates should have a degree in a relevant medical field and 3-5 years of experience in claims processing, alongside certifications like CPC/AHIMA....

A leading HR solutions provider in the UAE is looking for a Senior Officer E-Claims in Abu Dhabi. The role involves reviewing and processing medical claims while ensuring compliance with insurance policies. Candidates should have a degree in a relevant medical field and 3-5 years of experience in claims processing, alongside certifications like CPC/AHIMA....

UAE EXPERIENCED INSURANCE COORDINATOR 1.1 Coordinating with insurance companies for obtaining information on new policies and their coverage. 1.2 Verification of insurance eligibility, ensuring coverage of claims, guiding staff for correct use age of claim forms. 1.3 Explaining coverage of medical benefits to patients when required. 1.4 Assisting...

UAE (DOH-ABU DHABI EXPERIENCED GYNE,DENTAL,CARDIO INSURANCE CLAIMS) 1.1 Coordinating with insurance companies for obtaining information on new policies and their coverage. 1.2 Verification of insurance eligibility, ensuring coverage of claims, guiding staff for correct use age of claim forms. 1.3 Explaining coverage of medical benefits to patients when...

Job description:We are a licensed homecare organization dedicated to delivering high-quality, patient-centered healthcare services across Abu Dhabi. We are seeking an experienced Medical Coder & Biller to handle coding, billing, and insurance preauthorization's for our homecare services.Medical CodingAssign accurate ICD-10, CPT, and HCPCS codes as per DOH...

A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports....

**Medical Insurance**: - Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim. -...

We are currently seeking a Senior Insurance Claim Processor to join our team. The ideal candidate will have strong experience in insurance claims processing within a healthcare environment and a solid understanding of insurance policies, approvals, and reconciliation procedures.Key Responsibilities:· Review, process, and submit insurance claims accurately...