Description:
Hiring Medical Insurance Specialist
Job Description:
- Approvals, Submission, Resubmission, Coding & Auditing Claims Processing.
- Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers.
- Coordinating with insurance companies for obtaining information on new policies and their coverage.
- Explaining coverage of medical benefits to patients when required.
- Assisting invoicing department in insurance processing and billing.
- To network with insurance companies to obtain accreditation as a provide
- Nterpret medical reports to apply appropriate ICD-10, CPT and HCPCS codes.
- Consistently ensure proper coding, sequencing of diagnoses and procedures.
- To train and educate staff in insurance matters.
- Evaluates the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
- Sorting out rejections as per denial reason.
- Sending the rejected claims to the clinicians for justification if necessary and following up within the specified timeframe.
- Meeting the submission & resubmission deadline for all insurance companies.
- Making sure that the final rejection is at its minimal level.
- To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.
- Location: Dubai, UAE
- Experience: 5 years experience in Dubai
- If you are a highly skilled Medical Insurance Specialist with a minimum of 5 years of experience in Dubai Healthcare, we invite you to apply.