Log In
Sign Up
br{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]>
Job Description
Works in the insurance department under the direction of the Insurance Manager.
- Evaluate rejected claims for possible resubmission Working with problem claims & denials Explaining coverage of medical benefits to patients when required To maintain and update records related to pre-approvals and reconciliation.
- To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations.
- Determine the insurance policy coverage, including, but not limited to, diagnosis, clinical procedures, investigations, medications, limits of coverage, patient responsibility, referral authorization requirements (approvals) and lead-time thereof Ensure patient information is accurate including billing information Calling the insurance companies for the approval of the patient services Handling approval for costly medicine.
- Collect and analyze claims data and resolve errors delayed claims processing issue. Taking medical approval online and verbally Ensure all the approval codes attached and verified Proficient in Well, know about DHPO portal, Handling E-Claims and E-Prescription. Interacting with insurance companies to resolve direct billing and reimbursement claims issues.
- Monitor invoice processes to ensure invoices from external medicinal providers are being billed as per agreed tariff and discounts and in accordance with the exclusion policy given by insurance company Giving reliable approvals in line of hospital and insurance protocols.
Experience of 2-3 years in UAE
Job Type: Full-time
Salary: AED3,500.00 – AED4,500.00 per month
Ability to commute/relocate:
- Dubai: Reliably commute or planning to relocate before starting work (Preferred)
