Insurance Pre-Approval Exec.- Medical Coding Certified.(UAE... - HOSPITAL-HEALTHCARE-Dubai
Dubai -Insurance Pre-Approval Executive- Medical Coding Certified.(UAE Hospital Experience only) Qualifications, Skills and Experience required: -Coding Certifications from AAPC or AHIMA (e.g. CPC, CCS, CIC, CPMA) preferred wih a graduate degree in Nursing/Pharmacy/Physiotherapy/Allied health would be an added advantage, but optional.2-3 years in Pre-Approval management strictly within a hospital setting in Dubai - / UAEKnowledgeable in managing E-authorization on DHPO, dealing with insurance company call center and case managers for pre-approvals needs.Salary Range Aed. 5500-7000/- P.M all inclusiveDuties and ResponsibilitiesOverall pre-authorization management for Outpatient, Emergency, Daycare and Inpatient Incl. Finalize DRG approvals which support and optimizes the overall RCM processes.Effectively management modification / updating / revision of approvals based on the DHPO E-authorization platform.Identify minimum checklist documents and EMR order information to seek approvals.Relay with physician, clinical, and operational teams as need for correction of rectification of pre-authorization requests.Candidate must have a key eye on high cost surgery details estimation, identify CPTs or surgical factors (documents, surgical consumables, etc.) critical for an effective approval.Ability to identify and advise on coverage and not covered services / exclusions with all physician, nursing and administrative teams.Work with coding and denial team to identify issues and trends, to take note while reviewing approvals requests.Display a control and positive command of managing difficult queries with physicians, allied health, patient service, admitting and billing teams.Must be on the go while follow up with admitted patient- short or long term, emergency over night to realize the right approval for case to case basis.Review all admission and surgery documents that have an impact of final discharge.Identify missing/ adjustments charges, relay b/n clinical, admission and billing for necessary entry correction to optimize the authorization process.Capable to explain the patient his benefits status identified from approvals or rejected requests. Identify issues faced from registration, clinical and billing, which affects the approvals process and suggest improvements from a process standpoint.Identify Authorization and coverage orientations for clinical and patient access teams.Support and work with medical coders, to expedite corrections or revisions faced especially with post visit or post discharge scenarios.Work with HIS, IT, operations and involve in process improvement meetings that will contribute to the both approvals and overall operational processes.Must be well versed on insurance coverage and standard exclusion in all areas.Guide staff as and when needed on insurance eligibility, insurance documents and approval papersCoordinating with insurance companies for obtaining information on new policies and their coverageExplaining coverage of medical benefits / eligibility to patients when requiredMaintain communication with management on insurance mattersOther tasks as identified by the Department.Kindly email your CVs to healthcaredxb2019@gmaildotcomJob Type: Full-timeExperience:2-3 yrs of Insurance approval certified in Medical Coding: 3 years (Preferred)
Resident Country Agent/Investigators - Greves Verification Solutions DWC-Dubai
Dubai -Kindly send us your resume in descriptive manner and we shall revert you back. Consideration of the resume will be suitable for the bilateral relationship for future concern. Due to the sensitivity and confidentiality of the investigation services, we shall minutely go through your profile and preferences. If you have any query related with the recruitment kindly send your resume on [email protected]. Job Status: Full Time/Contract Basis Compensation Type: Salary/Project Basis Job Responsibilities: Under the indirect guidance of a Field Case Manager, the Field Agent would be responsible for interacting directly with individual claimants and assisting in the collection of data and document processing. Work schedule determined by current assignments. Some light travel within the region will be required on occasion. Education and Experience: Multilingual. Written/Spoken (English required) Computer literate (Microsoft Word, Excel, Outlook) Excellent organizational and interpersonal skills Must have knowledge of Respective Countries Additional Information: Current residency in mentioned country is required Travel within country required Must be culturally sensitive and accommodating to clients regardless of race, sex, and national origin Competitive Pay/Compensation This is a contractor position. No Monthly fixed pay. There is no provision for paid vacation, paid sick days, or insurance while conducting services in this contract position. Pay is dispersed on a monthly basis. The money is wired direct to the contractor's bank account in their name. Candidate must have access to own computer, cell phone, and broadband internet Must have mobile phone and be reached 24 hours a day/7 days a week/365 days a year A scanner will be provided by company if candidate does not have access to one Excellent opportunities for advancement and promotion This is a Dubai -, UAE Company.
Medical Receptionist / Insurance Coordinator - -Dubai
Dubai -Minimum of 5 year experience in the medical field.Handling reception, billing, receiving patients, taking insurance approvals and answering phone calls.Excellent in computer skillsProfessional in conducting emails.Fluent in the English language and efficient comprehensive skills in writingJob Type: Full-timeExperience:Medical Receptionist: 5 years (Preferred)
medical office: 1 year (Preferred)
Location:Dubai - (Preferred)