Doctor – Insurance Reconciliation & Analysis
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موقع الوظيفة:
الراتب شهرياً:
تاريخ النشر:
نُشرت قبل 12 ساعة
عدد الوظائف الشاغرة:
1 عدد الوظائف الشاغرة
ملخص الوظيفة
Hiring Doctor – Insurance Reconciliation & Analysis in Qatar
Job Description & Responsibilities:
- Review audit and reconcile medical insurance claims against clinical documentation.
- Ensure accuracy between services rendered billed amounts and insurance approvals.
- Identify discrepancies denials and underpayments and take corrective action.
- Liaise with insurance companies for approvals resubmissions and clarifications.
- Ensure compliance with insurance policies coding standards (ICD/CPT) and billing guidelines.
- Analyze trends in claim rejections and recommend improvements.
- Work closely with billing coding and clinical teams to optimize revenue cycle management.
- Prepare periodic reports on claims performance rejection rates and financial impact.
- Support internal audits and regulatory compliance processes.
Requirements & Eligibility (Qatar):
- MBBS or equivalent medical degree.
- Experience in insurance medical auditing or revenue cycle management preferred.
- Knowledge of ICD-10 CPT coding and insurance protocols is highly desirable.
- Eligible for DHP/MOPH license (preferred).
- Strong analytical and communication skills.
Required Skills:
Insurance Reconciliation & Analysis
