Claims Processor - Registered Nurse - Insurance Company LLC-Dubai
Dubai -AED4,500 - AED5,000 a monthDuties and responsibilities:To issue online and verbal authorizations based upon member coverage & medical justification.To assist queries from providers and payers via phone calls or e-mailsTo maintain files for authorizations and other reports.Assessing and processing claims in line with the policy coverage and medical necessity.Be fully versed with medical insurance policies for various groups / beneficiaries.Might be required to assist in training colleagues and sharing knowledge.Able to accurately assess eligibility within the UAE (HAAD and DHA) guidelines as well as policy boundaries.Monitoring and maintaining the claims processing and adjudicating cycle in operational software system as per the defined terms and policy of the organization.Entering and processing/ adjudicating claims in operational software system as per the terms and policy of the organization.Ensure adherence to the predefined TATs for claims and pre-approvalsAchieving required processing targets assigned by the team leader on daily, weekly and monthlyCandidate's Qualification:University degree in any discipline of Medical/Para-medical specialization from a reputable university.Healthcare/Hospital experience for 1-2 years, in departments such as Surgery, ICU or GP, is required.1 - 2 years of work experience in the Insurance industry is preferable but not mandatory.Excellent oral and written communication skills.Must be computer literate.Excellent command of the English language, Arabic is a definite plus.Should be a team player with an aptitude for customer service. Must be service oriented.Highly decisive with outstanding logic and reasoning skills.Candidate must be tactful and discrete while dealing with Providers or Payers; must be able to handle confidential information.Ability to work under pressure and meet tight deadlines and varying work-schedules.Job Type: Full-timeSalary: AED4,500.00 to AED5,000.00 /monthExperience:Hospital: 1 year (Preferred)
Claims Processing: 1 year (Preferred)
ENT Surgeon for UAE - Rx Talents-Dubai
Dubai -Full-time, PermanentOur Hospital Client in northern Emirates would require ENT Surgeon Doctor for full time employment.Doctors with any UAE Licenses ( MOH, DHA or HAAD ) can apply.Doctors from India are welcome to applyFull relocation package on offerJob Types: Full-time, PermanentExperience:ent doctor: 8 years (Preferred)
Location:Dubai - (Preferred)
Specialist/Consultant Nephrologist - Nephrohub Center-Dubai
Dubai -Full-time, Part-timeWe are looking for a specialised experienced Specialist and Consultant Nephrologist with experience for reputed hospitals all over UAE .Job ResponsibilitiesDiagnose patients using the correct equipment in determining and evaluating the extent and nature of kidney disorders or injuries.Use diathermy appliances, emanation tubes, cystoscopes, radium, catheters, and similar medical appliances where appropriate in the treatment of patients with kidney ailments.Perform dialysis or surgery on damaged kidneys and prescribe post surgical maintenance medication.Perform kidney transplant surgery in serious cases while ensuring kidney donor compatibility and legal or ethical donor sourcing.Administer anti-rejection treatment to counteract infections or preclude rejection in kidney transplants.Refer patients suspected of tumorous kidney to relevant oncologists.Keep abreast with new developments in kidney surgical techniques and medication.Maintain and ensure that relevant patient records are properly updated and filed physically or in a computer databaseJob Skills & Qualifications Required:Doctor of Medicine degree with Nephrology residencyMinimum of three years of experience as nephrologistBachelors in MedicineSalary -45000 to 90000AED/month with additional benefitsJob Types: Full-time, Part-time