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Medical Insurance Coordinator

    Industry: Insurance
    Career: Mid Career
    Job Location: Dubai
    Salary: AED 5001-7000
    Experience: 2 - 5 Years
    Job Type: Full Time
    Gender: Any
    City: Dubai
  • Listed: May 21, 2020 10:02 am

Description

We are looking for an experienced Insurance Coordinator to enhance the quality of insurance policies and procedures and develop network with the insurance companies.

The successful candidate will be accountable for full patient insurance cycle, i.e billing, claim approvals, DHA portal, Eclaim link, coding.

Obtain and negotiate new insurance contracts
Coordinate with the insurance companies concerning network agreements, negotiation revision of tariffs, contract renewal and outstanding balances
Establish and maintain relations with insurance providers
Ensure KPI for the insurance companies are up to date and are met in general
Design and implement a protocol for insurance practices in the clinic
Formulate and implement SOP for insurance practices in the facility
Comply with the DHA and all legal requirements regarding coding procedures and practices
Conduct audits and coding reviews to ensure all documentation is accurate and precise
Maintain full knowledge of UAE coding rules and regulations
Create a CPT coding system for providers
Manage entire claim life cycle
Create a detailed summary report of filled claims each month and keep tract of the payments
Obtain authorization for services, assist patients with the processing of medical insurance claims, respond to patients queries regarding the coverage of medical benefits, track insurance claims and inform patients of their claim status
Maintain patient accounts via billing system
Oversee and review processed claims with denial reasons and discrepancies, to minimized revenue loss and maximize reimbursement
Clarify and solve discrepancies in documentations and coding
Communicate with insurance companies about coding errors and disputes
Verify health care charges against established rates for diagnosis, treatment, services
Claims processing, claims submission, claims resubmission, handle rejections
Insurance recoveries and reconciliation
maintain and update records related to pre-approvals and reconciliation
Assign and sequence all codes for services rendered
Make sure sequence of codes meet criteria and practices
Create a detailed summary report of filled claims each month and keep tract of the payments
Conduct training for Front Desk receptionists regarding insurance circular
Guide staff for correct usage of claim forms, approval papers
Advise the Management on all insurance matters
Prepare statistical data analysis reports if required

Job Types: Full-time, Contract, Permanent

Experience:

Insurance revenue cycle: 3 years (Preferred)
Claims submission : 3 years (Preferred)

Location:

Dubai (Required)

License:

certified professional coder (Preferred)

Work Remotely:

Temporarily due to COVID-19

No Tags

  

Listing ID: N/A
20180626_085118
 

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One Response to “Medical Insurance Coordinator”

  1. Dear Sir , I am interested in this position.