Job Description

Job Responsibilities:

• Assist patients in understanding their medical insurance coverage, benefits, and claim processes in compliance with UAE regulations.
• Collect and verify patient information and insurance details to initiate insurance claims accurately and efficiently.
• Coordinate with the physicians for accurate clinical documentation to avoid insurance rejection and minimise denials. Provides feedback regarding coding errors and oversight.
• Coordinate with healthcare providers to obtain pre-authorization for medical procedures, surgeries, and treatments from insurance companies.
• Verify patient eligibility and coverage before initiating treatments or services.
• Prepare and submit medical insurance claims to relevant insurance companies, ensuring all required documentation is included.
• Track and follow up on pending claims, resolving any discrepancies or issues that may arise during the claims process.
• Coordinate with the finance department to ensure accurate billing of services provided to patients.
• Facilitate the reimbursement process by providing necessary documents and information to insurance companies.
• Communicate with patients to explain insurance coverage, co-pays, deductibles, and out-of-pocket expenses.
• Educate patients about the medical insurance process and help them navigate any inquiries or concerns.
• Maintain organized and accurate records of patient insurance information, claims, and authorizations.
• Ensure compliance with data protection and confidentiality regulations when handling sensitive patient information.
• Assist in resolving disputes or issues related to claim denials, coverage discrepancies, or billing errors with insurance companies.
• Stay updated on UAE healthcare regulations and insurance industry changes that may impact claim processing and patient coverage.

Job Requirements:

• Bachelor degree from an accredited college / university
• Minimum of two years coding, preauthorization, submission, and resubmission experience in UAE within a healthcare setting.
• Strong knowledge of medical coding systems (ICD-10, CPT) and insurance claim procedures.
• Must be a Certified Medical Coder.

Job Type: Full-time

Pay: AED5,000.00 - AED6,000.00 per month

Experience:

• Medical Coder experience in UAE: 2 years (Required)

License/Certification:

• CPC/AAPC (Required)