Descrição
Top Care Medical Center looking for a Medical Insurance Manager-Male Only with a minimum of 5 years related experience in Healtcare field, Attractive Salary Pacakge
Responsibilities:
- Revenue Cycle Management.
- Manage the Daily operations, pre-approvals, claims Medical auditing before submitting them to Insurance companies.
- Evaluation of medical necessity and consistency of diagnosis.
- Claims adjudication as per DOH guidelines.
- Monitor and analysis rejections rates and denial reasons, perform claims review according to, medical necessity and prepare the rejected claims for re submission process.
- Manage Medical coding & proper documentation-Medical Billing cycle and its direct influence on the revenue cycle.
- Supervises and monitors skills to fulfil the tasks requirements according to operational performance indicators KPI for current staff and New Joiners.
- SPC Contracting and re-contracting process and to negotiate with Insurace Companies.
- Audit management by the Insurance Company, Government Authorities including TASNEEF/ JAWDAH
Salary: Up to AED20,000.00 per month
Experience:
- Medical Insurance Experience in Abu Dhabi: 5 years (preferred)