· 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)
Education:
- Bachelor's (Preferred)
Experience:
- claim’s processor or in a related role.: 2 years (Preferred)