Medical Reviewers - Dubai, UAE, Job Functional Area, Health/Medicine, Job Title, Medical Reviewers, Job Location, Dubai, UAE, Degree Title, University degree in Medicine & Surgery., Minimum Experience, 2 Years

Job Description: Med Net UAE is one of the leading managed care service organizations that caters to healthcare needs and offers financial protection against unforeseen health crisis and expenses across GCC region.

We are currently seeking to hire Medical Reviewers and the position will be based in Dubai, UAE. MedNet UAE FZ L.L.C.

Your Job: Evaluate claims (Network & Direct), provide authorizations for insured members (in-patient S outpatient) and handle calls relating to medical cases efficiently. Assess risk exposure of members in line with medical underwriting policies. Manage queries from providers, Insurance Companies and insured members relating to claims processing, evaluation and administration. Provide medical guidance to the Claims Department staff and assistance in ICD coding. Deliver excellent customer service to Insurance Companies and insured members with a view of achieving maximum client satisfaction. Client Management/ attending hospital visits to investigate on claims in orderto minimize fraud and abuse. Compile data and prepare monthly statistical reports to monitor departmental performance and medical trends.

Your Profile: University degree in Medicine & Surgery. Candidates with 2-3 years of experience in medical claims evaluation preferably from TPA / MSO organization in Insurance sector of Gulf region. Knowledge of health insurance and medical codes (ICD 9/10) would be an advantage.

Effective interpersonal and communication skills to manage client expectations, both internal and external with fluency in business English (written and spoken); Arabic would be an advantage.

Cross-cultural competence, willingness to work on shift basis.

Interested candidates can submit their resumes to Email: info@mednet-uae.com