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Job Descrption

Job Description

Analysis of medical bills, such as hospitalization process, medical diagnosis, tests and procedures performed, checking of materials and medicines and appeal of disallowances, in order to identify possible irregularities or non-conformities and apply corrective actions;

Implementation of processes and team training;

Negotiation of hospital package prices with companies providing health plans and insurance;

Negotiation of disputes/disallowances with health plan management companies (TPA) and/or insurance companies;

Mediation/negotiation in case of high-cost medicines, medical acts and ECDTs;

Auditing of processes and preparation of audit reports;

Preparation of “packages” of medical acts (surgeries, births and complementary exams, among others).

Job Experience

Degree or Postgraduate degree in Auditing of Hospital Accounts and/or Medical Accounts;

Minimum of 4 years’ experience as a medical accounts auditor;

Proficiency in the Office package from a user’s... perspective;

High communication and argumentation skills;

Ability to work under pressure;

Ability to identify problems with a focus on solutions and possibilities for improvement;

Job Category: Operations

Job Type: Full Time

Job Location: Dubai

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