Medical Insurance Tpa jobs in Dubai
- A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
- § Basic Industry knowledge (healthcare/insurance) is a plus.
- § Assess day-care and in-patient cases as per medical justification and policy coverage.
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- Strong knowledge of DRG coding, UAE billing guidelines, and insurance policy interpretation.
- Coordinate second medical opinions and referrals to low-cost or…
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- TPADubai Silicon Oasis
- Be fully versed with medical insurance policies for various groups / beneficiaries.
- The job holder for preauthorization is responsible to review and approve…
- Strong knowledge of DRG coding, UAE billing guidelines, and insurance policy interpretation.
- Coordinate second medical opinions and referrals to low-cost or…
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- Crossroads Insurance Brokers LLCDubai
- Manage and oversee all corporate medical insurance claims support activities.
- Maintain confidentiality and security of client medical information.
- 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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- Almadallah Healthcare ManagementDubai
- Adjudicate claims strictly based on health insurance policy terms, benefit structures, pre-authorization details, coverage limits, and medical necessity…
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- AllianzDubai
- 1-2 years medical experience (reputable insurance provider, broker or a TPA experience a plus).
- Knowledge of overall insurance industry practices is a plus.
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- TPADubai Silicon Oasis
- Minimum of 3 years’ experience of the Middle East insurance market.
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- Experience in medical coding of 3-5 years’ within IP/OP and DRG claims.
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- Engage in departmental medical training to broaden understanding of medical terminology and procedures, and enhance proficiency in claims processing skills.
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- AllianzDubai
- Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance,…
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- AllianzDubai
- Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance,…
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Job Post Details
Medical Claims Officer - Insurance/TPA (Medical/Paramedical) - job post
Job details
Pay
- AED6,000 - AED6,500 a month
Job type
- Permanent
- Full-time
Location
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