Medical Auditor

NMC; Abu Dhabi; On-site; AED 120,000 - 200,000; Full time

Job description

• 3.1 Review and Audit Medical Claims to ensure their accuracy.
• 3.2 Resubmission of rejected claims.
• 3.4 Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
• 3.5 Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future.
• 3.6 Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.
• 3.7 Submit the claims with proper codes and format to insurance companies within the stipulated time.