Claims Administration

Claims Administration:

Claims Administration Make sure claims are verified in the Post Office (DOH / DHA), and prepare reports for interdepartmental verification and client confirmation before submitting them. Make sure that eClaims are submitted to the post office, keep track of hard copy submissions, and submit by mail when necessary in accordance with payer-provider-regulatory SLAS. Track and report the value and number of claims received each month compared to those submitted. Click here

Details:

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Responsibilities:

Create regular pre-submission reports and point out to the relevant department any disparities in the copay, deductible, encounter type, approval format, clinician disparities, zero net amount, etc.

Create a post-submission and exclusion report tailored to the client, confirm the claim number and amount prepared for submission, and get in touch with the client or client relationship manager to confirm the submission.

By doing regular validation checks in the DOH and DHA portal, finding technical error claims, and fixing them with the assistance of the DE, Coding, and IT departments, you can ensure clean claims and timely submission.

Before sending the CQM questions to the client, create them and share them with other departments for a quality review.

As needed, create a package for TPA and insurance. It ought to be based on newly acquired networks and payers.

Verify eligibility in bulk for MOPA customers.

 Gender:

Any

Qualifications:

Any Graduation

A bachelor’s degree or diploma

three years minimum of experience in a related position

adept at using healthcare revenue cycle software

the capacity to work with little direction and oversight.

Extremely driven, possessing a robust work ethic and the capacity to flourish in a hectic setting.

adept with Microsoft Excel and related programs.

Experience:

2 – 5 Years

Type:                                                                                                

Full Time

Category / Sector:

Private Job

Job Location:

Dubai – United Arab Emirates (UAE)

Total Vacancies:

3

Nationality:

Any Nationality

Pay Range:         

Decided in interview

Note:             

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