Auditor vacancy in Dubai UAE

Medical Claims Auditor - Insurance
Experienced in Medical Cases Auditor in the insurance policy or TPA. · Coordinate with the providers or payers in instance of mismatch between the provided declaration of account as well as actual billing submission. Outside Audit: Examining the carriers (Clinical Documents and also Payment). · Updating the exterior audit record to the monitoring. · Investigating the In-patient, Out-patient reimbursement insurance claims. · Preserving the Internal audit records of insurance claim handling. · Handling/ reacting the inquiries of Claims Group on Medical Coding (DRG, unbundling code, up coding, medically justify). · Interacting with other Groups (Claim Centre, Network Team and also IT) on Medical coding. · See carriers to examine further records, spot fraudulence situations and also record to the worried departments for action. Momentarily due to COVID-19. Job Types: Full-time, Permanent. Pay: AED10,000.00 - AED13,000.00 monthly. Program A lot more.