Auditor Jobs In Abu Dhabi UAE 2023 | NMC Healthcare

Auditor Jobs In Abu Dhabi UAE 2023 | NMC Healthcare

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A Medical Auditor at NMC Healthcare will apply Medical Knowledge and best Insurance practice while Auditing / reviewing the claims prior submission, medical records and other documentation essential to justify the services provided to the patient by the Healthcare facility.

Ensure that the details of the claims are in line with the Regulators' standards.

Handling Resubmission of rejected claims.

Responsibilities of Medical Auditor

Review and Audit Medical Claims to ensure their accuracy.

Resubmission of rejected claims.

Ensure that the agreed price list and provider manual from Insurance companies are followed for billing the service to the Respective payers.

Update the Billing officers on time with the Rejections and Corrective action.

Follow up with Respective doctors for justifying the claims if necessary.

Submit the claims with proper codes and format to Insurance companies timely.

Perform any other jobs or duties assigned by the HOD from time to time within the scope of job title.

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