Overview

Approval Officer – UAEN Jobs in Abu Dhabi at NMC Health plc

Administrative activities:

Administrative activities:

  • Review and Audit Medical Claims to ensure their accuracy.

    • Resubmission of rejected claims

    • Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.

    • Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future

    • Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.

    • Submit the claims with proper codes and format to insurance companies within the stipulated time.

Administrative activities:

  • Review and Audit Medical Claims to ensure their accuracy.

    • Resubmission of rejected claims

    • Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.

    • Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future

    • Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.

    • Submit the claims with proper codes and format to insurance companies within the stipulated time.

  • Medical/paramedical (Nursing, pharmacy, etc..) graduate from a recognized university

  • Experience in Insurance Claims management/adjudication (minimum 2 years)

  • Experience in Medical Coding is preferable.

  • Flexible and able to work under pressure

  • Knowledge in using computer and related software applications and proficient in using MS office programs.

Title: Approval Officer – UAEN

Company: NMC Health plc

Location: Abu Dhabi

 

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