Medical Insurance Specialist
Job Description
Approvals, Submission, Resubmission, Coding & Auditing Claims Processing
Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers
Coordinating with insurance companies for obtaining information on new policies and their coverage
Explaining coverage of medical benefits to patients when required
Assisting invoicing department in insurance processing and billing
To network with insurance companies to obtain accreditation as a provide
Interpret medical reports to apply appropriate ICD-10, CPT and HCPCS codes.
Consistently ensure proper coding, sequencing of diagnoses and procedures.
To train and educate staff in insurance matters.
Evaluates the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Sorting out rejections as per denial reason.
Sending the rejected claims to the clinicians for justification if necessary and following up within the specified timeframe.
Meeting the submission & resubmission deadline for all insurance companies.
Making sure that the final rejection is at its minimal level.
To coordinate and co-operate with colleagues of the same department and other related departments for smooth running of Insurance operations
Job Type: Full-time
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Job Detail
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Job IdJD1885017
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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 LocationAl Barsha, DU, AE, United Arab Emirates
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EducationNot mentioned