Insurance Coordinator
Abu Dhabi, AZ, AE, United Arab Emirates
Job Description
Insurance Claims & Approvals
Submit, review, and follow up on dental claims through Shafafiya/eClaims. Request and process pre-approvals for all dental procedures. Ensure proper documentation, coding accuracy, and compliance with DOH/HAAD guidelines. Re-submit and correct rejected or returned claims as needed.
Denials Management
Review denied claims, identify rejection causes, and prepare re-submissions or appeals. Maintain a log of denials and resolutions for reporting and audits. Coordinate with doctors and finance regarding denied or pending claims.
JAWDA & Audit Compliance
Prepare, upload, and manage JAWDA monthly submissions. Ensure data accuracy and compliance with DOH quality indicators. Assist with internal and external audits related to insurance, quality, and financial claims. Maintain proper documentation required for regulatory inspections, quality audits, and clinic licensing.
Coordination & Communication
Update doctors, reception, management, and patients on approval or claim status. Clarify insurance coverage, exclusions, and limitations when necessary. Ensure proper workflow between clinical and administrative departments.
Job Type: Full-time
Pay: AED5,000.00 - AED7,000.00 per month
Experience:
dental coder: 4 years (Required) insurance coordinator : 4 years (Required)
License/Certification:
* coding certification (Required)
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Job Detail
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Job IdJD2182525
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationAbu Dhabi, AZ, AE, United Arab Emirates
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EducationNot mentioned