Job Description

Roles & Responsibilities

• Handle OP and IP insurance approvals efficiently and accurately
• Coordinate with insurance providers for authorizations and follow-ups
• Ensure complete and timely documentation submission. Maintain compliance with UAE insurance regulations and hospital policies
• Verify patient insurance coverage and benefits accurately, ensuring proper authorization for services to avoid denials.
• Submit claims electronically or via mail to various insurance providers, meticulously following each plan's specific guidelines.
• Manage claim denials by investigating the reasons, appealing decisions, and resubmitting corrected claims promptly.
• Post payments received from insurance companies and patients, reconciling them with the billing system and patient accounts.

Desired Candidate Profile

• Possesses a High School Diploma or equivalent; an Associate's or Bachelor's degree is advantageous.
• Certified Professional Coder (CPC) certification.
• Demonstrates 2+ years of experience in medical billing, coding, or insurance coordination within a healthcare setting.
• Experience in a hospital or clinic setting is preferred.

Employment Type

• Full-time

Company Industry

• MedicalHealthcareDiagnosticsMedical Devices

Department / Functional Area

• InsuranceUnderwritingSurveyingActuary
•