Medical Claims jobs
- A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
- TPADubai Silicon Oasis
- Assessing pre-authorization requests claims in line with the policy coverage and medical necessity.
- The job holder for preauthorization is responsible to review…
- Al Farabi Medical CenterAl-Ayn
- Minimum 5 years of relevant experience in medical insurance/claims within the UAE healthcare sector.
- Review medical records, coding, invoices, and supporting…
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- AllianzDubai
- Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
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- Earnest Insurance Brokers LLCUAE
- Provide medical guidance to the Department staff.
- Evaluate claims (Network & Direct), provide authorizations for insured members (in-patient & outpatient) and…
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- AllianzDubai
- Preparing and sending processed claims reports to payers within agreed turnaround times.
- As a Claims Payment Processor, you will be responsible for managing…
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- FMC Network UAEDubai
- Minimum 3 - 5 years’ experience in medical coding or pre-approval department in a health care (TPA /Insurance) industry.
- Immediate Joining, UAE Driving License.
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- Ascribe Healthcare SolutionsDubai
- A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital.
- Ascribe Healthcare SolutionsDubai
- A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital.
- AllianzDubai
- Identify and investigate discrepancies in claims transactions and ensure timely and accurate reconciliation of claims.
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- Kanad HospitalAl-Ayn
- Familiarity with medical coding (ICD & CPT), claim submission processes, and healthcare insurance regulations (HAAD/DOH).
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- Ascribe Healthcare SolutionsDubai
- Ensures to reduce rejections and get the claim paid at the initial submission of claims.
- Proficiency in medical terminology, anatomy and physiology.
- Globemed Gulf Heathcare SolutionsDubai
- Receive, review, and audit medical claims submitted by contracted providers to ensure alignment with policy terms, medical necessity standards, and pricing…
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- AllianzAbu Dhabi
- Adhering to the cost containment protocols for medical management cases.
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Medical Claims Officer - Insurance/TPA (Medical/Paramedical)
Medical Claims Officer - Insurance/TPA (Medical/Paramedical)
Job details
Pay
Job type
Full job description
· A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
· Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.
· In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
· Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.
- Recording and maintaining insurance policy and claims information in a database system.
- Determining policy coverage and calculating claim amounts.
- Processing claims payments.
- Answering queries related to Policy coverage criteria and guidelines.
- Complying with federal, state, and company regulations and policies.
· Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.
· Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.
- Performing other clerical tasks, as required.
Job Types: Full-time, Permanent
Pay: AED6,000.00 - AED6,500.00 per month
Ability to commute/relocate:
- Dubai: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):
- Are you available to join immediately?
Education:
- Bachelor's (Preferred)
Experience:
- claim’s processor or in a related role.: 2 years (Preferred)
Work Location: In person