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Job Post Details
MEDICAL INSURANCE COORDINATOR (MALE) - job post
Abu Dhabi
AED5,000 - AED10,000 a month
Job details
Pay
- AED5,000 - AED10,000 a month
Job type
- Full-time
Location
Abu Dhabi
Full job description
Top Care Medical Center L.L.C., a primary healthcare center in Abu Dhabi, is seeking an experienced, proactive, and detail-oriented Male Medical Insurance Coordinator to join our administrative team.
Key Responsibilities
- Prior Authorization & Pre-Approvals: Process prior authorization requests for medical procedures, laboratory tests, medications, and diagnostics with insurance providers in a timely manner.
- Claims Processing & Verification: Verify patient insurance coverage, policy limits, and co-payment details accurately prior to consultation or treatment.
- Medical Coding & Data Entry: Accurately assign and apply CPT, ICD-10, HCPCS, and DoH service codes to diagnosis, treatment, and procedure documents prior to submission.
- Resubmission & Rejection Handling: Audit rejected or denied claims, analyze coding error patterns or medical necessity issues, and resubmit corrected claims with complete medical documentation.
- Coding Compliance & Auditing: Perform regular internal coding audits to ensure full adherence to Department of Health (DoH) regulations and insurance provider guidelines in Abu Dhabi.
- Provider Coordination: Act as the primary liaison between doctors, nursing staff, and insurance agencies to clarify clinical documentation and standard coding practices.
Requirements & Qualifications
- Gender: Male (strictly as per operational requirement)
- Education: Graduate degree in Healthcare Administration, Pharmacy, Nursing, or a related field. Professional coding certification (e.g., AAPC CPC, CIC) is a major advantage.
- Experience: Minimum 3– 5 years of hands-on experience in medical insurance coordination and diagnostic/procedural coding within the Abu Dhabi experience strongly preferred.
- Technical Expertise: Comprehensive knowledge of DoH billing codes (CPT, ICD-10-CM, HCPCS) and UAE healthcare insurance portals (e.g., Shafafiya, Daman, Thiqa, NextCare, NAS).
- Languages: Fluency in English is required; proficiency in Arabic is a strong advantage.
- Skills: Strong analytical abilities, attention to detail, and proficiency in Hospital Information Systems (HIS).
Work Location & Details
- Location: Top Care Medical Center L.L.C., ICAD Mall, ICAD Residential City 1, Mussafah, Abu Dhabi, UAE
- Employment Type: Full-time
- Salary & Benefits: Competitive package based on experience, including visa sponsorship, medical insurance, and standard UAE Labor Law benefits.
Pay: AED5,000.00 - AED10,000.00 per month
Work Location: In person
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