Transguard Group was established in 2001 and has diversified significantly, we lead in the fields of Cash Services, Security Services, Manpower Services, Facilities Management & Aviation. Transguard Group is the UAE\xe2\x80\x99s most trusted business support and outsourcing provider and has a large, dynamic and culturally diverse workforce with 50,000 employees! We are currently recruiting for a Medical Board Consultant to be based out of their Dubai office.
Purpose-
To review, assess, evaluate and manage the preapproval request with good medical and coding knowledge and meeting the departmental objective.
Requirements-
High level of working knowledge of Healthcare regulations in UAE, BAH, OMN & QAT.
Basic knowledge of DRG and CPT/ICD is a must.
Has sound knowledge of all medical insurance and guidelines. * Understand the different aspects of the Healthcare Platform to be able to direct queries to the relevant parties where necessary.
Sound knowledge of regulations from regulatory authority.
Able to contribute significantly to the departmental savings.
Skills
Bachelor of Medicine, Bachelor of Surgery (MBBS) degree holder.
Minimum 3 years of experience in insurance.
Minimum 3 years of experience in preapproval department.