Insurance Coordinator | Healthcare | Dubai

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.