Medical Auditor, NMC Specialty Hospital Al Ain UAE

NMC Healthcare is presently looking to hire suitable and competent candidate for the job role of a Medical Auditor. The successful aspirant will work at NMC Specialty Hospital Al Ain, UAE. This job was posted by NMC Healthcare on 16 October 2023 and is now accepting applications from all desirous applicants.

Purpose of A Medical Auditor

Reviews healthcare documentation to ensure accuracy, compliance, and quality of medical services.

Duties of A Medical Auditor

• Review and audit medical claims to ensure their accuracy.
• Resubmission of rejected claims.
• Ensure to follow agreed price list and provider manual from insurance companies for billing the service to the respective payers.
• Ensure to update Billing officers on time with the rejections and take corrective action 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.
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.

Qualification & Experience

• Medical / paramedical (Nursing, pharmacy etc.) graduate from a recognized University.
• 2 years of minimum experience in Insurance Claims management / adjudication.
• Experience in medical coding is preferable.
• Excellent command of oral and written English.

Financial Auditor Ernst & Young Dubai UAE

Tagged as: Auditor