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Job Post Details

Medical insurance specialist - job post

Dubai Corporation For Ambulance Services
4.6 out of 5 stars
Dubai
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Job details

Job type

  • Full-time

Location

Dubai

Full job description

  • Develop and enhance corporate plans, policies, procedures, and Key Performance Indicators (KPIs) for insurance claims management in accordance with the laws and regulations of the Dubai Health Insurance Authority.
  • Provide technical consultation during the development of insurance claims systems and applications to enhance revenue generation and operational productivity.
  • Develop the corporate medical services pricing policy in collaboration with relevant organizational units, ensuring compliance with the applicable laws and regulations in the Emirate of Dubai.
  • Analyze insurance claims revenue growth trends and prepare periodic reports for the direct supervisor.
  • Analyze the reasons for rejected insurance claims, develop innovative solutions to improve medical documentation and coding practices, and recommend system enhancements based on the findings.
  • Conduct periodic measurement of quality indicators related to medical billing and motor vehicle accident billing processes in accordance with the regulations of the Health Insurance Authority.
  • Process and reconcile rejected medical insurance and motor vehicle accident claims with insurance companies and prepare detailed reports on the outcomes.
  • Provide technical support and guidance to Insurance Claims Officers and Medical Coding Officers in the performance of their duties.

Qualifications


  • Master's Degree: Minimum 3 years of experience in Medical Insurance or a related field.
  • Bachelor's Degree: Minimum 5 years of experience in Medical Insurance or a related field.
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