Medical Claims Officer - Insurance/TPA (Medical/Paramedical)
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Key skills for this role
About the Role
· A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. · Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.
Key Skills for This Role
Full Job Posting
Overview
- · A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company.
- · Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information.
- · In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
- · Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer.
- Recording and maintaining insurance policy and claims information in a database system.
- Determining policy coverage and calculating claim amounts.
- Processing claims payments.
- Answering queries related to Policy coverage criteria and guidelines.
- Complying with federal, state, and company regulations and policies.
- · Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents.
- · Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.
- Performing other clerical tasks, as required.
Job Types: Full-time, Permanent
- Pay: AED6,000.00 - AED6,500.00 per month
- Ability to commute/relocate:
- Dubai: Reliably commute or planning to relocate before starting work (Required)
Application Question(s)
- Are you available to join immediately?
Education
- Bachelor's (Preferred)
Experience
- claim’s processor or in a related role.: 2 years (Preferred)
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