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


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.

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