Section Head, Medical Operations | Daman Health Jobs in UAE 2021
Section Head, Medical Operations
Job: Full Time
Abu Dhabi, UAE
The National Health Insurance Company – Daman is the UAE’s leading health insurer and trusted Government partner, offering leading solutions that provide access to unparalleled healthcare services, covering around 2.5 million members pioneer in health insurance. Daman is the first specialised health insurer in the UAE, with over 15 years of expertise and commitment
We are looking for someone who can overarch the goals as one of the Daman’s leader
- Ensure that all Medical Operations (Claims & Authorisation) related processing procedures and tasks are performed in a timely, accurate and efficient manner and meet all regulatory requirements
- Attend to queries on issues/cases related to Authorisation/Claims letters, medical coverage eligibility and other functions related to the unit
- Observe the compliance of Claims/Authorisation processors on the latest Schedule of Benefits (SOB), circulars and guidelines through supervisors’ quality audit report
- Escalate suspected fraud and abuse cases to Medical Investigation and Audit Department (MIAD) through the respective system
- Hold a Bachelor’s degree in Medicine
- Master’s degree in healthcare / health insurance / health economics or business management is a plus
- Certification in medical coding systems is a plus
- Has extensive experience in using and developing tools, concepts and strategies that exploit new business opportunities
For more details, please scroll down & see the details.
|Title||Section Head, Medical Operations | Daman Health Jobs in UAE 2021|
|Hiring Organization||Daman Health|
|Job Location||Abu Dhabi, UAE|
|Employment Type||Full Time|
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*This Jobs was Originally Posted on Daman Health Jobs Site..