Medical Auditor

Posted Date 13 Nov 2023



Experience Icon Experience 2 Years Salary Salary 3400AED
Job Type Icon Job Type Full Time Company Company NMC Healthcare
Job Category Icon Job Category Medical Qualification Icon Qualification BS Health Services Administration
Gender IconGender Both Date Last Date 24 Dec
Vacancies IconVacancies 1 Remote IconRemote No
Location Location(s) Dubai , United Arab Emirates

Description Job Description

  • The⠀submission⠀and⠀re-submission⠀teams⠀shall⠀ensure⠀compliance⠀to the⠀defined⠀process.
  • Submission⠀of⠀Inpatient⠀/⠀Outpatient⠀claims to⠀concerned⠀Insurance⠀/ TPA’s⠀for final⠀payment⠀within the⠀time⠀limit.
  • Resubmission⠀of⠀rejected⠀claims⠀from Payer⠀/ TPA in⠀order to⠀receive⠀the⠀balance⠀payment
  • Creation⠀of⠀insurance⠀plan.
  • Reconciliation⠀data to⠀Audit Team⠀Leader for⠀recon⠀purposes.
  • Credit⠀notes⠀generation⠀every⠀month and⠀reporting⠀to the⠀Team⠀lead
  • Generation⠀of Review⠀meet⠀Reports to⠀the⠀management
  • Bachelor’s⠀Degree⠀with 2⠀years’⠀experience⠀in⠀Insurance⠀or⠀healthcare⠀industry.
  • Fluent⠀spoken and⠀written⠀English.⠀Spoken⠀Arabic is⠀advantageous⠀but not⠀essential.
  • Sound⠀knowledge⠀of MS⠀Office.
  • Communication,⠀interpersonal⠀skills as⠀applied to⠀interaction⠀with⠀co-workers,⠀supervisor⠀and⠀customers.

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