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Medical Claims jobs in Dubai International City

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    • A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital.
    • View all Ascribe Healthcare Solutions jobs - Dubai jobs - Medical Biller jobs in Dubai
    • Salary Search: Medical Billing Executives - Dubai salaries in Dubai
    • Receive, review, and audit medical claims submitted by contracted providers to ensure alignment with policy terms, medical necessity standards, and pricing…
    • Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
    • Expert knowledge of medical conditions, treatments, procedures and standard codes.
    • The team leader for medical billing operations is typically assigned to a…
    • This specialized role is crucial for the accurate, efficient, and compliant processing of complex medical claims related to inpatient hospitalizations.
    • Good knowledge of the UAE healthcare and medical insurance environment.
    • Support the expansion and optimization of the medical provider network across the UAE.
    • Proficiency in medical terminology, anatomy and physiology.
    • Education: Degree in any related field preferably medical or life science background.
    • Support employees with medical approvals, reimbursement claims, rejected claims and insurance-related complaints.
    • Facilitate the processing of medical insurance claims, ensuring accurate documentation and timely submission to underwriters.
    • Insurance claims: 1 year (Preferred).
    • * Screen and Prepare ALL documents related to insurance claims of each patient, making sure the patients are aware of the…
    • You bring analytical rigor that translates complex metrics into clear medical decisions.
    • Omnichannel Tracking & ROI: Track and optimise medical performance…
    • Ensure correct documentation is attached for claims.
    • Maintain accurate records of all insurance claims and payments.
    • Actively participates in the strategic planning process by establishing strategic direction and prioritizing of strategic initiatives.
    • Process and submit insurance claims daily.
    • Monitor and follow-up on outstanding claims.
    • Represent employer in small claims court, if necessary.
    • Education: Degree in any related field preferably medical or life science background.
    • Basic knowledge in medical record review to abstract information required…

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Job Post Details

Medical Billing Executives - Dubai

Job details

Pay information not provided
Dubai

Full job description

Post

A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital. The main purpose of the role is to adjudicate and process the account/claim with quality in a professional manner according to policy terms and conditions. The medical biller will hold responsibility for the account/claim until payment is done. He/ She needs to apply the clinical guideline and sound judgment of medical necessity when assessing the account. Additionally, the role will need to interpret and process claims with correct usage of standard codes (e.g. ICD, DRG, CPT, and HCPCS) applicable billing structure, policy terms, and benefits. Ensure that all medical information is kept confidential as per compliance.

Roles and Responsibilities

  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information

  • Evaluates and processes claims per insurance policy terms and conditions

  • Work following company policies and procedures

  • Identify and report back any type of claims observation or issues that may affect the process

  • Evaluates and ensures that all claims denied or underpaid inappropriately by Payers are identified, appealed and reversed

  • Reviewing claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries and makes recommendations for resolution

  • Ensures that targets are met for department Turnaround time, Quality and Productivity

Education, Experience, and skills needed

  • Education: Degree in any related field preferably life science background.

  • Minimum 1-2 years’ recent experience in Revenue Cycle Management - Eligibility and Authorization, Claim Submission & Resubmission. Both inpatient and outpatient experience preferred.

  • Expert knowledge of medical conditions, treatments, procedures and standard codes

  • Willingness to work in different shifts

  • Willingness to work from a different facility

  • Analytical skills to review the account before submission to the payer and ensure all required data elements are correct as per the insurance and medical code sets

  • Basic understanding of the billing and payer adjudication guidelines related to DHA

  • Basic knowledge of medical terminology

  • Proficiency in the use of PCs and MS Office suite

  • Excellent in communication skills

  • Understanding of the various RCM departments

  • Fluent Arabic speaking skills

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