Medical Claims Auditor - RCM Assurance-Dubai
Dubai -JOB DESCRIPTION JOB TITLE: Medical Claims Auditor INDUSTRY: Healthcare Working independently, or within a team, the Medical Claims Auditor performs all activities related to data mining, claims analysis, and auditing.Possess strong knowledge of CPT, ICD, HCPCS, DRG coding and claims adjudication for medical claims.Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.Reviews the medical claims for Inpatient & outpatient billing.Check eligibility and benefits verification for treatments, hospitalizations, and procedures.Perform audits targeting and evaluating procedural diagnosis code selection.Checking insurance payments for accuracy and compliance with contract.Conduct independent data mining and data analysis utilizing claims data.Identify incorrect coding, fraudulent claims and present audit findings. Identify and recommend policy, procedure and system changes to enhance investigative outcomes and performance.Review claims according to the HAAD and DHA rules and coding guidelines.Assign codes to diagnoses and procedures, using ICD and CPT codes.Prepare reports and presentations.Assist in implementation of auditing system.Reviews that pricing is correctly applied.Reviews medical necessity. Requirements: Strong analytical and qualitative skills as well as problem solving skills with the ability to look for root causes and implement workable solutions. UAE Experience is mandatory in Dubai - or Abu Dhabi region. Knowledge of the principles and practices of medical auditing. Must have a track record of producing high quality work that demonstrates attention to detail. Proficiency in Microsoft Office applications (Word, Excel and PowerPoint). Ability to travel and be on-site as needed for audits. Strong Interpersonal skills with the ability to work in a fast paced environment whether as a team member or an independent contributor. Prefer individual possessing any of the following certifications or licensure: CFE, RN, CPC, or CPMA. Knowledge of coding, reimbursement and claims processing policies. Knowledge of medical terminology. Location: Dubai - or Abu Dhabi Renumeration: According to skills and experience. Interested and Eligible candidates, please send your cv to careers'at'rcmassurance.com Skills: Medical Coding,Medical Billing,DRG,CPT,Auditing,Data Analysis,MS Office,Medical Terminology
SENIOR LAWYER, DIVERSIFIED GROUP, DUBAI - Taylor Root Global Legal Recruitment-Dubai
Dubai -Full-time, PermanentLocation: Dubai -, United Arab Emirates Sector: Corporate & Commercial Job type: Permanent Salary: Negotiable Contact: Mark Anderson Contact email: [email protected] Job ref: MA/1145202_1579065975 Published: about 3 hours ago Expiry date: 2020-02-14 Startdate: ASAP SENIOR LAWYER, DIVERSIFIED GROUP, Dubai - CLIENT: We are currently working with a broad Middle East based conglomerate who cover a wide range of industries. They are seeking to add to their legal team with a high quality Legal Counsel, or Senior Legal Counsel. ROLE: You will essentially cover broad brush commercial and corporate contracts but the nature of the business means that you may lend your hand to a wide variety of other work as and when needed, such as real estate, construction, insurance, IP, employment and disputes. CANDIDATE: Ideally you will be based in Dubai - already and bring with you a range of strong commercial law experience, either from in-house or from a recognised law firm environment. Preferred candidates will be common law qualified but there is flexibility for the right person. An ideal PQE range will be 4-10 years' of experience. REF: MA/1145202 Please note that the jobs advertised here may represent just a selection of all the in-house roles we have running across the Middle East, Turkey and Africa region (and beyond). To have a full overview of all the roles available right now, please visit our constantly updated website at www.taylorroot.com The SR Group (Dubai -) Limited is acting as an Employment Agency in relation to this vacancy. Please note that your personal information will be treated in accordance with our Privacy Policy.
Sales Engineer-Industrial Automation/Instrumentation - TECH AUTOMATION-Dubai
Dubai -Description: We have Sales Engineer-Automation/Instrumentation. Apply with you fresh resume and scanned photo. We are a leading industrial automation and instrumentation product provider company with range of quality products. Our product market is marine, oil and gas, metal and steel industry, food and beverages, energy and power, machine builders, panel builders, system integrator, factory automation and others. At the moment, we are in need of enthusiastic Sales Engineer to be part of our Sales team. If you think you are the right match and can make a difference in growth of company, please apply with your updated CV and motivational letter. Carefully read the expectations from the candidates. ** Incomplete and improper applications shall not be entertained. Position: Sales Engineer Territory: UAE Responsibilities: Promote range of company automation & instrumentation products and interfaces in UAE MarketExperience preferred in sales of following products: Signal converters, Isolators, splitters, IS Barriers, temperature sensors, transmitters, pressure / level / flow transmitters, data logger, displays, indicators, controllers, PLCs, integrated motors, gauges and many other products Going for sales visits and conducting sales Meeting with relevant customersContacting customers and technical staff to discover what products are required for new projects and ongoing operations.Proposing right Solutions to customers as per their industry applicationsAchieve sales target defined by companyProvide technical support to new and old customersPeriodically check active clients to see how current orders are working and to offer them additional services, products or solutions.Preparing quotes, sales orders, invoices and follow up for payment recoveries.Fulfill extra assigned tasks by manager to support sales and operations Requirements: Excellent communication skillsOther additional edges: experience/Training courses in Signal conditioning, signal conversion, instrumentation, safe/classified area knowledge etcPrevious experience: 2-3 yearsLanguage Skills: English, Urdu/Hindi Must. additional languages can be Arabic. Specialist knowledge: Industrial Automation/Instrumentation productsIdeal Age Range: 25 – 35Nationality Preference: Pakistani, Indians, others Gender: Male, Female Current location: Business Bay, Dubai -, UAETraveling will be required to all UAE states for sales meetingsUAE Driving license is MustCandidates with driving license and own car will be given priority Benefits: Gross monthly basic salary: AED 2,000-4,000Considerable Benefits over salesCommission / Bonus: YesMedical insuranceYearly Return ticket Application deadline is 18-01-2020