Handled the submission of claims from Medcare Hospital, Dubai with
thorough understanding of UAE medical coding guidelines, insurance
policies and regulatory requirement.
Accurately prepared and submitted claims to insurance companies using
ICD-10, CPT, and HCPCS codes for diagnoses, treatments, and procedures.
Utilized billing software like Trakcare, 3M and DHPO to accurately input
coding information, track claims, and update patient records as part of the
submission.
Reviewed patient charts and medical documentation to ensure proper code
assignment for accurate claims submission
Monitored the status of submitted claims through the system and followed
up with insurance providers to resolve outstanding issues, such as denials
or rejections.
Actively identified and analyzed claim denials or underpayments,
researched the root cause of issues, and made necessary adjustments to
coding or documentation.
Assisted in verifying insurance coverage and obtaining pre-authorization
for services as needed, ensuring smoother claim processing and reducing
payment delays.
Ensured all claims submissions adhered to relevant regulatory requirements
(e.g., HIPAA, CMS guidelines, payer-specific rules) and coding standards.