Insurance Officer
Posted on :
12-11-2021
Employer Active
1 Vacancy
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Jobs by Experience
2 - 0 years
Monthly Salary
AED 11 - 22
Nationality
Any Nationality
Gender
N/A
Vacancy
1 Vacancy
Posted on :
12-11-2021
Job Description
- Review, interpret, abstract clinical information from medical records for the purposes of reimbursement, research and compliance utilizing established coding principles and protocols.
- Expert in medical record review to abstract information required to support accurate outpatient and coding.
- Expert in assigning accurate service codes for diagnosis and procedures performed in clinical setting.
- Responsible for claims submission, rejection, re-submission and all sorts of insurance documentations.
- Adhere to DOH Claims and Adjudication rules and coding guidelines.
- Obtain approval for medical/dental procedures.
- Inform patients of dental office procedures and policy.
- Move patients through appointments as scheduled.
- Enter all relevant patient information into data system.
- Maintain and manage patient records in compliance with privacy and security regulations.
- Answer and manage insurance related incoming calls.
- Complete and file insurance forms and dental billing records.
- Translate Clinical services into proper billable codes.
- Handle test results including x-rays and dispatch lab work appropriately.
- Organize referrals to other medical specialists.
- Communicate with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
- Explain the coverage of medical benefits to patients when required.
- Act as a resource for billing, pre-authorization, reimbursement issues and outpatient/dental.
- Ensure high level of patient data confidentiality.
Employment Type
Full Time
Company Industry
Department / Functional Area
Key Skills
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