Medical Insurance Specialist Dubai UAE

Position: Medical Insurance Specialist

Date posted: 2024-02-11

Industry: other

Employment type: Full Time

Experience: 5 year

Qualification: Bachelor’s Degree holder

Salary: AED 5000 to 10000

Location: Dubai, United Arab Emirates

Company: Confidential

Description:

Hiring Medical Insurance Specialist

Job Description:

• Approvals, Submission, Resubmission, Coding & Auditing Claims Processing.
• Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers.
• Coordinating with insurance companies for obtaining information on new policies and their coverage.
• Explaining coverage of medical benefits to patients when required.
• Assisting invoicing department in insurance processing and billing.
• To network with insurance companies to obtain accreditation as a provide
• Nterpret medical reports to apply appropriate ICD-10, CPT and HCPCS codes.
• Consistently ensure proper coding, sequencing of diagnoses and procedures.
• To train and educate staff in insurance matters.
• Evaluates the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
• Sorting out rejections as per denial reason.
• Sending the rejected claims to the clinicians for justification if necessary and following up within the specified timeframe.
• Meeting the submission & resubmission deadline for all insurance companies.
• Making sure that the final rejection is at its minimal level.
• To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.
• Location: Dubai, UAE
• Experience: 5 years experience in Dubai
• If you are a highly skilled Medical Insurance Specialist with a minimum of 5 years of experience in Dubai Healthcare, we invite you to apply.