Approval Officer - UAEN

NMC GROUP SERVICES.; Dubai; On-site; AED 70,000 - 110,000; Full time

Job summary

NMC GROUP SERVICES in Dubai seeks an Administrative Billing professional to review and audit medical claims, resubmitting rejected items and ensuring compliance with insurer price lists and provider manuals.

You will support billing officers, follow up with doctors for justification, and submit claims with proper codes within deadlines; a medical/paramedical degree and at least two years in insurance claims are preferred.

Qualifications

• Medical/paramedical 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.

Responsibilities

• 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.

Skills

Claims management

Auditing

Medical billing

Medical coding

MS Office

Education

Medical/paramedical graduate

Tools

MS Office

Job description

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

Responsibilities

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 universityExperience in Insurance Claims management/adjudication (minimum 2 years)Experience in Medical Coding is preferable.Flexible and able to work under pressureKnowledge in using computer and related software applications and proficient in using MS office programs.