Medical Auditor

NMC

Medical Auditor Jobs in Abu Dhabi, UAE

 

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.

Responsibilities

 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.

Qualifications

  1. Medical/Nursing graduate from a recognized university.
  2. Experience in Insurance Claims Resubmission
  3. Experience in Medical Coding is preferable.
  4. Excellent command of oral and written English.

To apply for this job please visit eiby.fa.em2.oraclecloud.com.

About Munawer M

Munawer is a seasoned recruiter, career blogger, and job consultant specializing in the dynamic job markets of Dubai, Abu Dhabi, Sharjah, and across the UAE. With a deep understanding of local employment trends and industry demands, he regularly shares valuable insights through his career-focused articles, helping job seekers stay ahead in an ever-evolving market. Munawer’s personalized recruitment and consulting services empower individuals to enhance their skills, navigate the competitive UAE job landscape, and secure roles that align with their career aspirations. He is dedicated to connecting talent with the right opportunities in the region’s thriving economy.

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