Doctor - Medical Officer
Full time
at a Laimoon Verified Company
in
Abu Dhabi, UAE
Doctor - Medical Officer Full time at a Laimoon Verified Company in Abu Dhabi, UAE
Job highlights
Posted on September 12, 2017- Professional background in
- Job level Junior/Entry Level
-
Pays salary of
AED 9,500 - AED 10,000 /month
(Fixed Salary)
Job details
Required by a MNC Group for Abu Dhabi.
• Assess day-care and in-patient cases as per medical justification and policy coverage.
• Escalate and confirm grey-area cases. Confirming of exclusions of borderline cases OP/IP.
• Assists CC officers and supervisors in claims adjudication cases as needed.
• Sending request of confirmation and notification to corresponding payers as needed.
• Responding to payer's queries in relation to day-care and In-patient cases.
• Responding to the payers request for advice on coverage of cases.
• Assisting the CC Supervisors / Asst. Manager and Managers as needed.
• Rejecting not medically and policy wise not covered day-care and in-patient cases to be signed by CC Manager.
• Conformity of assessment for the prescribed tests/medications/investigations/clinical
Procedures.
• Issuing day-care and In-patient cases Reimbursement Approval in line with medical and
Policy coverage.
• Contacting provider for queries and clarifications.
• Doing clinical discussion directly with the network's doctor as needed.
• Seeking verbal clinical opinion from Network's doctor as needed.
KNOWLEDGE, SKILLS AND EXPERIENCE
• Doctor (MBBS degree/ MD degree)
• 2 - 5 years' experience in the healthcare industry / hospitals is preferable but not mandatory
• Basic industry knowledge (healthcare / insurance)
• Should be a team player with an aptitude for customer service
• Must be service oriented
• Excellent oral and written communication skills
• Must be computer literate
• Excellent command of the English language, Arabic is a plus
• Candidate must be tactful and discrete when dealing with clients and must be
• Able to handle confidential information
• Ability to work under pressure
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Confidential Company
The company has carved a unique niche in the regional healthcare sector because of its excellent service standards and innovative customer focused solutions. Through our various subsidiaries & affiliates, network agreements have been signed with more than 2,000 healthcare providers region-wide
No of employees: 201-500
Established in: 2002
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Hiring company
Confidential Company
The company has carved a unique niche in the regional healthcare sector because of its excellent service standards and innovative customer focused solutions. Through our various subsidiaries & affiliates, network agreements have been signed with more than 2,000 healthcare providers region-wide
No of employees: 201-500
Established in: 2002
-
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