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    • Providing excellent customer service through responding swiftly to queries from insured member, medical provider .
    • View all NATIONAL GENERAL INSURANCE CO (PSC) jobs - Dubai jobs - Case Coordinator jobs in Dubai
    • Salary Search: Medical case coordinator (Pharmacists/Registered Nurse) salaries in Dubai
    • See popular questions & answers about NATIONAL GENERAL INSURANCE CO (PSC)
    • Support claims processing and resolve coding-related queries.
    • Strong knowledge of ICD-10, CPT, and medical terminology.
    • Adhering to the cost containment protocols for medical management cases.
    • Requesting any medical documentation or finding any missing document which is essential…
    • Ensure compliance with insurance requirements and minimize claim rejections.
    • Review and accurately code outpatient medical records in compliance with *DoH (…
    • Visits to Clients & Insurance Companies.
    • Assistance to Accounts Department for matters of Collection.
    • Any other task as & when advised by the Management.
    • Conduct pre-billing audits to minimize claim denials and rejections.
    • Perform insurance eligibility checks and verify patient coverage prior to service/claim…
    • Minimum 2 years of experience in medical auditing, medical coding, claims auditing, or healthcare quality/compliance.
  • View similar jobs with this employer
    • Provide claim forms in case the patient wants to claim reimbursement.
    • Provide information about medical insurance coverage to patients and collect the payment/…
    • Bachelor’s Degree in a medical or healthcare-related field.
    • The Insurance Medical Coder will be responsible to support our outpatient services by accurately…
    • A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital.
    • Ensures to reduce rejections and get the claim paid at the initial submission of claims.
    • Proficiency in medical terminology, anatomy and physiology.
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    • Accurately code service descriptions stated in prior authorization requests in accordance with accepted medical coding rules, medical guidelines, and the policy…
    • The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies.
    • Good knowledge of the UAE healthcare and medical insurance environment.
    • Support the expansion and optimization of the medical provider network across the UAE.
  • View similar jobs with this employer
    • Monitor claim status and follow up on pending, rejected, or returned claims.
    • 1–3 years of experience in medical claims submission, revenue cycle management, or…

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Job Post Details

Medical case coordinator (Pharmacists/Registered Nurse) - job post

NATIONAL GENERAL INSURANCE CO (PSC)
3.0 out of 5 stars
Dubai

Job details

Job type

  • Full-time

Location

Dubai

Full job description

Medical Case coordinator- Providing approval of services for the insured member through DHPO, email and PBM, over riding of rejected medication if falls under policy t&c and if clinically justified.

Providing excellent customer service through responding swiftly to queries from insured member, medical provider .

1. Provide approval through online system(DHPO), emails and call to

Medical provider according to medical necessity and as per policy

Wordings.

2. Coordinate between Insurer, patient and provider.

3. Handles phone calls and written inquiries related to requests for pre-

Approvals/pre authorizations, reconsiderations, or appeals.

4. Performs a comprehensive review for the record to assure the

presence of all component parts such as: patient and record

identification, signatures and dates where required and other

necessary data in the presence of all reports which appear to be

Indicated by the nature of the treatment rendered.

5. Handing pharmacy rejection and approving the same if matches with indications and policy wordings.

6. Processing pharmacy and op clinics claims at the end of the every month.

You can share your cv directly to careers@ngiuae.com

Job Type: Full-time

Ability to commute/relocate:

  • Dubai: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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