Insurance Coordinator Healthcare
No two days are the same at Al-Futtaim, no matter what role you have. Our work is driven by the desire to make a difference and to have a meaningful impact with the goal of enriching everyday lives. Take our engaging and supportive work environment and couple it with a company culture that recognises and rewards quality performance, and what do you get? The chance to push the limits every single day.
As a humble family business that started on the banks of the Dubai Creek in the 1930s, Al-Futtaim has expanded to a presence in 31 countries, a portfolio of over 200 companies, and 42,000 employees. You’ll find us in industries ranging from automotive and retail, to finance and real estate, and connecting people with international names like Lexus, Ikea, Robinsons, and Adidas. Our team is proudly multicultural and multinational because that kind of diverse representation gives us the global mindset to grow and impact the people, markets, and trends around us.
Al-Futtaim is now entering the healthcare sector. We will expand our product and service portfolio by providing high-quality health and patient care. Using the latest innovations in technology and best clinical practices, we will strive to improve health outcomes and support people within the UAE and beyond to live happier, healthier and better lives.
Come join us to live well, work better, and be the best.
About the Role
Al Futtaim Group Healthcare is looking for Insurance Coder to provide Insurance coding support to the clinic to ensure accurate flow of medical information and patient data between physicians, patients and third-party payers through the use of specific & accurate CPT/ ICD/ DDC codes.
Your will be responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers.
About the Responsibility
• Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate numeric code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim.
• To act as a liaison between the facility and payment parties to investigate the claim, verify its information, and update the database in the instance that a claim is denied by the third-party payer.
• Receive and review patient charts and documents for accuracy
• Ensure that all codes are current and active
• Report missing or incomplete documentation
• Meet daily coding production
• Update and maintain document lists
• Performs accurate charge entries
• Ensure proper coding on provider documentation
• Serves as resource regarding insurance resolutions and coding questions
• Handles co-pays, balances, and charge posting
• Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations.
• Review patient medical records
• Coding treatment information using Current Procedural Terminology (CPT) codes
• Communicating with medical billing specialists to ensure treatment codes are accurately received
• Performs additional duties assigned by Unit In-charge as needed
• Liaise and support other members of the multi-disciplinary team and other agencies relating to patient care, maintaining good communication channels.
• Assess, plan, develop, implement and evaluate programmes to promote health and well-being.
• Be aware of safe guarding policies, both local and national, and implement such policies should it become necessary.
• Recognise and refer patients presenting with holistic health needs, including mental illness.
• Assess clinical conditions, prioritise health problems and intervene appropriately, including initiation of effective emergency care.
• Manage own patient caseload including the interpretation of test results and the ability to act upon these.
About the Requirements
inimum Qualifications and Knowledge:
• Bachelor’s Degree in any stream
• Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA Certificate
• Fluency in English (speak, read and write).
• Arabic speaking skills will be an added advantage.
• Computer Literacy skills is required.
Minimum Experience:
Minimum 4+ years experience in a similar role.
Job-Specific Skills:
• Understanding of medical terminology, anatomy and physiology
• Ability to work independently or as an active member of a team
• Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
• Accurate and precise attention to detail
Behavioural Competencies:
• Excellent presentation and analytical skills
• Exceptional written and oral communication skills
• Good decision making skills
• Strong operational thinking skills
• Critical Thinking
• Conflict Management
Insurance Coordinator
Number of positions: 1
Recruiter name: Fatma Al Harthi
Reference number: 36510
Workplace Type: On-site
Mediclinic City Hospital | Dubai | United Arab Emirates
MAIN PURPOSE OF JOB
To provide comprehensive insurance coordination support aimed at efficient and prompt insurance pre-authorisation activities
KEY RESPONSIBILITY AREAS
To coordinate the activities of the insurance team
To monitor and manage approvals and submission of information between various role players to ensure eligibility and approvals are confirmed
Ensure prompt implementation and compliance with relevant insurance polices
Prepare relevant reports
Provide accurate and prompt insurance information and feedback to patients and team members
Facilitate internal training on insurance matters
REQUIRED EDUCATION
A relevant Diploma or Bachelor's degree from an accredited institution
REQUIRED EXPERIENCE
At least 2 years' experience in a healthcare setting with relevant medical insurance exposure
REQUIRED JOB SKILLS AND KNOWLEDGE
• Facilitation skills
• Client service and related management principles
• Clinical Coding
• Verbal and written communication skills in English
All applicants will be considered, with the understanding that preference will be given to the designated groups in accordance with the United Arab Emirates Emiratization Program. If you wish to grow with us, apply now and become a part of the Mediclinic Middle East Family
Executive Insurance
Executive Insurance Aster Hospital, Al Qusais (Br. Of Aster DM Healthcare FZC)
JOB DESCRIPTION
Claim collection and submission
• Track and update claim form from the assigned pharmacies
• Conducts daily claims audit and make timely corrections
• Prepares reconciliation of internal branch transfer of assigned pharmacies
• Administers total insurance operations
• Updates the resubmitted rejections and the settlements details of claims in the system on a monthly basis
• Submits all documents (claims related) for all pharmacies in all modes ( Paper claims, eclaims and EDI) with supporting documents within agreed timeline per month
• Lists insurance companies and record discount rates
Daily activities
• Reviews claims to make sure that billing requirements are met
• Updates accounts as necessary, answers inquiries, and makes recommendations for resolution
• Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
• Performs data entry and filing to record patient and insurance data
E- claims submission
• Monitors timely online submission by pharmacies
• Follow up with pharmacies for missing documents to Re submit rejected e-claim/paper claim
• Validates and submit e-claims on a monthly basis
Job interactions
• Coordinates with pharmacies for follow up of insurance submission and resubmission
• Works closely with insurance companies for resubmission follow up of claims
Minimum Experience
• 0 – 2 Years
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.
ABOUT THE TEAM
Aster Hospitals, one of the largest private healthcare service providers in GCC, aim to make a difference with our patient-centric approach to medical care and an inherent emphasis on clinical excellence. Currently, Aster Hospitals are located in 4 countries in the GCC specializing in primary, secondary and tertiary healthcare.
These include Aster Hospitals (Mankhool and Al Qusais) in UAE, Aster Al Raffah Hospitals (Muscat, Sohar and Ibri) in Oman, Aster Hospital (Doha) in Qatar and Aster Sanad Hospital (Riyadh) in Kingdom of Saudi Arabia delivering on a simple yet strong promise to its people: “We’ll treat you well.” Overall, Aster DM Healthcare Group has a strong presence in GCC and is an emerging healthcare provider in India with 25 hospitals, 116 clinics and 238 pharmacies manned by 20,500+ workforce (including approx. 1250 doctors on fee for service basis) from across the geographies
