Medical Insurance Coding Auditor
Aspris Middle East
Date: 1 day ago
City: Dubai
Contract type: Part time
Job Description
Experience
10 years (Required)
- Generate and analyze financial reports related to insurance claims, payments, and denials.
- Provide regular updates and insights to management on revenue cycle performance and areas for improvement.
- Ensure compliance with all relevant laws, regulations, and accreditation standards related to insurance billing and revenue cycle management.
- Identify and mitigate risks associated with insurance claims and payments.
- Obtaining prior approvals for the services requiring pre-authorization as per medical coding guidelines.
- Coordinating with any requirements from Insurance companies and following insurance protocols
- Checking all the coverage and member eligibility
- Informing front desk staff for any new protocols received from insurance companies
- Ensuring approvals are received with correct details
- Ensure that the invoices are correctly done in line with what is approved
- Working with problem claims & denials
- Co-ordination OP cases regarding various CPT codes used for accurate and effective Billing
- Ensuring Pre-approval process is done as per the DOH and DHA coding guidelines
- To liaise with patients regarding their eligibility, entitlements, and coverage of medical benefits
- Assist on submitting the claims on timely manner.
- Adheres to dress code, appearance to maintain neat and clean
- Always maintains and ensure patient confidentially
- Reports to work on time and as scheduled
- Work at maintaining a good rapport and cooperative working relationship with Insurance companies, doctors, and patients.
- Bachelor’s degree in Finance, Business Administration, Healthcare Management, or a related field.
- Must have a coding certification
- Minimum of 10 years of experience in Insurance Coordinator, Revenue Cycle Management, Medical Billing, or a related role.
- Strong understanding of insurance processes, claim management, and medical audits.
- Proficiency in relevant software and systems for medical billing and revenue cycle management.
- Excellent communication, negotiation, and interpersonal skills.
- Strong analytical and problem-solving abilities.
Experience
10 years (Required)
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