Executive.Insurance.Medcare Management Office – Ansar Gallery in Aster DM Healthcare Dubai,Dubai,UnitedArabEmirates

Website Aster DM Healthcare

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About the job

Job Description

Claims Pre-Approval

  • Handle Medical Claim Preapproval.
  • Liaise with insurance companies to process preapprovals, new insurance policies, modifications to existing policies
  • Obtain information from Insurance Companies to verify the accuracy and completeness of information on claims preapproval
  • Monthly conclude all preapproval for timely claims submission
  • Increase in preapproval & to maintain minimum ratio
  • Ensure the adherence to the SLA between Insurance and Billing departments
  • Ensure the adherence to the departments SOPs
  • Provide advice to the team on clinical aspects in bills/ claims and recommend the solutions.
  • Monitor the issues related to the interdepartmental transactions which may affect the quality and TAT for the processes internally on time.
  • Managing and coordinating with the team for a smooth revenue cycle completion

Coordination with Submission

  • Provide the functional supports for the smooth cycle completion
  • Collaborate with the recovery team for on time recovery support and help achieve the targets and DSO levels
  • Maintain healthy relationship and develop rapport with the insurance companies.
  • Discuss with the clinicians/ relations/ billing on the rejections and develop solutions collaboratively.

Reports & Updates

  • Circulate updated details of Insurance companies to all units in UAE
  • Keep the team members updated on rejections on preapproval on daily basis.

ABOUT US

Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands.

For more details please visit our website https://www.asterdmhealthcare.com/

ABOUT THE TEAM

Medcare Hospitals and Medical Centres (Medcare), the premium healthcare division of Aster DM Healthcare, is one of the pioneering healthcare providers in the region.

With a focus on delivering a patient-centric journey as well as encouraging clinical excellence and state-of-the-art care, Medcare operates three multi-specialty hospitals including Medcare Hospital Safa Park Dubai, Medcare Hospital Sharjah and Medcare Women and Children Hospital in Dubai and one specialty hospital Medcare Orthopaedics & Spine Hospital. In addition, it has three specialty centres and 12 multi-specialty centres in key locations across Dubai and Sharjah.

With a team of 350+ qualified healthcare professionals, Medcare promotes and supports the highest standards in preventive, curative and rehabilitative healthcare.

Company: Aster DM Healthcare

Vacancy Type: Full Time 

Job Location: Dubai,Dubai,UnitedArabEmirates

Application Deadline: N/A

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