Job Summary:
Performs a variety of tasks under the Medical Coordination Manager including but not limited to preparing and reviewing medical claims on daily basis, with the interpretation needed into medical coding for diagnosis or medic procedures as per international standard of ICD-10AM and CCHI-BS or other references updated by regulator (ADA, GTIN, SFDA, GMDN....etc.), review medical history matching and completeness, providing necessary medic documents supporting all claims before submission; and carries out the require role an denial management process and appeals with 3rd parties, wit awareness of RCM nature and patient journey status related. Also shares a additional assigned tasks as supporting on medical preauthorization, eligibility benefit checking process or projects as for DRG application on their locations
Knowledge, Skills, Experience Required:
Founded in 1955, Magrabi Hospitals & Centers Group is the first private specialized facility in the Middle East and Africa and now we are proud to be the largest Sub-Specialized Medical Care network in the region existing in 27 Locations & 6 Countries across Middle East. Over the years, Magrabi Hospitals & Centers Group has become a symbol for excellence in the Eye care and Dentistry care fields with its heritage, the most skilled internationally trained doctors, exceptional services, state-of-the-art technology and ultra modern facilities offering world-class healthcare.
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