Medical Auditor NMC Specialty Hospital Dubai
- Full time
- Dubai, United Arab Emirates, NMC Specialty Hospital, Dubai AE View on Map
- @NMC Healthcare posted 5 months ago
- Posted : December 30, 2024 -Accepting applications
- Salary: د.إ5,000.0 - د.إ9,000.0 / Monthly
- View(s) 157
Job Detail
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Job ID 29581
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Career Level Intermediate
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Experience 2 Years
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Gender Male Female
Job Description
NMC Healthcare presently has a job opening for suitably qualified and experienced candidate for position of a Medical Auditor at NMC Specialty Hospital, Dubai, AE. This is an Intermediate level full time role. For this position salary ranges from 5000-9000 AED, which may be slightly negotiable during the interview process.
Responsibilities of Medical Auditor
- 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.
- Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
Requirements for Role of Medical Auditor
- 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.
Skills And Knowledge Desired
Excellent command of oral and written English.
Required skills
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