Medical Insurance Coordinator

Description

We are looking for an experienced Insurance Coordinator to enhance the quality of insurance policies and procedures and develop network with the insurance companies.

The successful candidate will be accountable for full patient insurance cycle, i.e billing, claim approvals, DHA portal, Eclaim link, coding.

Obtain and negotiate new insurance contracts Coordinate with the insurance companies concerning network agreements, negotiation revision of tariffs, contract renewal and outstanding balances Establish and maintain relations with insurance providers Ensure KPI for the insurance companies are up to date and are met in general Design and implement a protocol for insurance practices in the clinic Formulate and implement SOP for insurance practices in the facility Comply with the DHA and all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is accurate and precise Maintain full knowledge of UAE coding rules and regulations Create a CPT coding system for providers Manage entire claim life cycle Create a detailed summary report of filled claims each month and keep tract of the payments Obtain authorization for services, assist patients with the processing of medical insurance claims, respond to patients queries regarding the coverage of medical benefits, track insurance claims and inform patients of their claim status Maintain patient accounts via billing system Oversee and review processed claims with denial reasons and discrepancies, to minimized revenue loss and maximize reimbursement Clarify and solve discrepancies in documentations and coding Communicate with insurance companies about coding errors and disputes Verify health care charges against established rates for diagnosis, treatment, services Claims processing, claims submission, claims resubmission, handle rejections Insurance recoveries and reconciliation maintain and update records related to pre-approvals and reconciliation Assign and sequence all codes for services rendered Make sure sequence of codes meet criteria and practices Create a detailed summary report of filled claims each month and keep tract of the payments Conduct training for Front Desk receptionists regarding insurance circular Guide staff for correct usage of claim forms, approval papers Advise the Management on all insurance matters Prepare statistical data analysis reports if required

Job Types: Full-time, Contract, Permanent

Experience:

Insurance revenue cycle: 3 years (Preferred) Claims submission : 3 years (Preferred)

Location:

Dubai (Required)

License:

certified professional coder (Preferred)

Work Remotely:

Temporarily due to COVID-19